Individual provider Active NPI

Rebecca Richardson

  • Physical Therapist
  • Federal Way, WA
National Provider Identifier
1134466022
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60132435 Issued in WA
Practice address
1010 South 336TH St Suite 210
Federal Way, WA 98003
Phone
(866) 835-8091
NPI assigned
Jan 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60132435 WA Primary

Addresses

Primary practice location

1010 South 336TH St Suite 210
Federal Way, WA 98003

Mailing address

1010 S 336TH St Ste 210
Federal Way, WA 98003-7354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250617003726 LA Practitioner - Physical Therapist in Private Practice 7517478407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewy Physical Therapy IncGroup PAC ID 5597730127, 10 clinicians

Practice addresses (Care Compare)

8448 Siegen LN
Baton Rouge, LA 70810-1938
Phone (225) 767-8182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60132435WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lewy Physical Therapy Inc Physical Therapist CurrentSince Jun 9, 2025 Accepting new patients
Supplemental Healthcare Past Accepting new patients
SHC Services Inc. Past Accepting new patients

Locations

8448 Siegen Ln
Baton Rouge, LA 70810
Phone (225) 757-0164

7755 Magnolia Beach Rd
Ste G
Denham Springs, LA 70726

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1134466022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S 336TH ST STE 210",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SOUTH 336TH ST SUITE 210",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "866-835-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60132435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.