Active NPI
Stacey Drake Richardson, P.T.
- Physical Therapist
- Miami, FL
National Provider Identifier
1093900409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 23325
- Practice address
- 8603 S Dixie Hwy Ste 308
Miami, FL 33143-7829 - Phone
- (305) 661-1443
- NPI assigned
- Sep 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 23325 | FL | Primary |
Addresses
Primary practice location
8603 S Dixie Hwy Ste 308
Miami, FL 33143-7829
Mailing address
7695 SW 155TH St
Village of Palmetto Bay, FL 33157-2480
Phone (786) 242-8034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 23325 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1093900409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7695 SW 155TH ST",
"city": "VILLAGE OF PALMETTO BAY",
"state": "FL",
"postal_code": "331572480",
"telephone_number": "786-242-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8603 S DIXIE HWY STE 308",
"city": "MIAMI",
"state": "FL",
"postal_code": "331437829",
"telephone_number": "305-661-1443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "STACEY",
"middle_name": "DRAKE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-10",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 23325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.