Richard Dale McPhearson, DPT,MTC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

07547R Issued in LA

Practice address

235 Fairburn Ave
Benton, LA 71006-4904

Phone

(318) 935-9075

Fax

(318) 935-9076

NPI assigned

Jun 22, 2009

Last updated

Aug 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Benton Physical Therapy, LLCGroup PAC ID 2769740737, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benton Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Benton, LA
  • NPI 1972013969
  Medicare reassignment Care Compare group NPD
• Minden Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Minden, LA
  • NPI 1982466157

  Physical Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1073740692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "STONEWALL",
            "state": "LA",
            "postal_code": "710780280",
            "telephone_number": "318-775-9870",
            "fax_number": "318-775-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 FAIRBURN AVE",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "710064904",
            "telephone_number": "318-935-9075",
            "fax_number": "318-935-9076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Line Ave",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014639",
            "country_code": "US",
            "telephone_number": "318-213-3810",
            "fax_number": "318-213-3804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCPHEARSON",
        "first_name": "RICHARD",
        "middle_name": "DALE",
        "credential": "DPT,MTC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07547R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Mabou, PHARMD
• Bridget Lynette Maiden-Williams, PLPC
• Taylor McCarty
• Leslie McCormack
• Heather D McKenzie, RD, LD
• Philip Allen Medaries
• Miles Ahead Transportation Service LLC
• Michael Miles
• Courtney Miller, LPC
• Mon Ami Pharmacy LLC

• Physical Therapist in Benton, LA
• Providers in Benton, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.