Active NPI
Countess-Jai Richards
- Physical Therapist
- Lewiston, NY
National Provider Identifier
1144789728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 043917
- Practice address
- 5285 Lewiston Rd
Lewiston, NY 14092-1942 - Phone
- (716) 298-2900
- NPI assigned
- Mar 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 043917 | NY | Primary |
Addresses
Primary practice location
5285 Lewiston Rd
Lewiston, NY 14092-1942
Mailing address
67 Edgebrook Est Apt 10
Cheektowaga, NY 14227-2005
Phone (718) 249-9843
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043917 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552435200000",
"number": "1144789728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 EDGEBROOK EST APT 10",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142272005",
"telephone_number": "718-249-9843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5285 LEWISTON RD",
"city": "LEWISTON",
"state": "NY",
"postal_code": "140921942",
"telephone_number": "716-298-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "COUNTESS-JAI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-13",
"last_updated": "2019-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "043917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.