Ken Eh Richards, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT0188620 Issued in CA

Practice address

5725 Ralston St
Ste 103
Ventura, CA 93003-6053

Phone

(805) 658-6964

Fax

(805) 477-0370

NPI assigned

Jun 23, 2005

Last updated

Dec 16, 2009By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Arise Home Care Corp

  • Home Health Agency
  • Claremont, CA
  • NPI 1003913765

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• Coastal Therapy Inc

  • Physical Therapist
  • Arcadia, CA
  • NPI 1396300216
  Medicare reassignment NPD
• Advent Hope Hospice, Inc.

  • Community Based Hospice Care Agency
  • San Bernardino, CA
  • NPI 1447679873
  NPD
• Arise Home Care Corp

  • Home Health Agency
  • Claremont, CA
  • NPI 1003913765
  NPD

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1083610018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11268 VOLLMER DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544874",
            "telephone_number": "951-317-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 RALSTON ST",
            "address_2": "STE 103",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036053",
            "telephone_number": "805-658-6964",
            "fax_number": "805-477-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "KEN",
        "middle_name": "EH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT0188620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "WPT118620A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heaven Lee Rhodes, RBT
• Alexandra D Rhoe, PT, DPT
• Ramtin Riahi, DDS
• Chantal Riba
• Cameron Michael Rice, M.D.
• Kirk PM Richards, PT
• Crystal Evangeline Richardson, RN
• Jeffrey R Richardson, M D
• Paul Edward Richardson
• Scot J Richardson, M.D.

• Specialist in Ventura, CA
• Providers in Ventura, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.