Active NPI
Zane Brannan Richardson, PT,DPT,OCS
- Physical Therapist
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1219022
- Practice address
- 3133 Good Shepherd Way
Longview, TX 75605-7921 - Phone
- (903) 380-0072
- NPI assigned
- Jun 27, 2017
- Sex
- Male
- 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 | 1219022 | TX | Primary |
Addresses
Primary practice location
3133 Good Shepherd Way
Longview, TX 75605-7921
Mailing address
1485 Tall Timbers
Gilmer, TX 75645-8327
Phone (903) 380-0072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170803002127 | TX | Practitioner - Physical Therapist in Private Practice | 4486925815 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chambers Outpatient Rehab Services LLC
Practice addresses (Care Compare)
405 E Marshall St
Kinetic PT Associates
Gilmer, TX 75644-2331
Phone (903) 402-1052
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.74 of 100
- Quality
- 80
- Improvement activities
- 40
- Cost
- 72.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1219022 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chambers Outpatient Rehab Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
405 E Marshall St
Gilmer, TX 75644
Phone (903) 402-1052
1406 Shadywood Ln
Mt Pleasant, TX 75455
Phone (903) 572-6100
1312 S Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 572-6100
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Mt Pleasant, TX
- NPI 1356538136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498521600000",
"number": "1114448495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 TALL TIMBERS",
"city": "GILMER",
"state": "TX",
"postal_code": "756458327",
"telephone_number": "903-380-0072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3133 GOOD SHEPHERD WAY",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756057921",
"telephone_number": "903-380-0072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "ZANE",
"middle_name": "BRANNAN",
"name_prefix": "Dr.",
"credential": "PT,DPT,OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-27",
"last_updated": "2017-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1219022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.