Active NPI
Richard Shumway
- Sports Physical Therapist
- Washington, DC
National Provider Identifier
1154399707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 2359
- Practice address
- 2100 2ND Street
RM 5314 Uscg HQ, Comdt (CG-1122)
Washington, DC 06320 - Phone
- (860) 444-8402
- NPI assigned
- Mar 9, 2006
- 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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 2359 | AZ | Primary |
Addresses
Primary practice location
2100 2ND Street
RM 5314 Uscg HQ, Comdt (CG-1122)
Washington, DC 06320
Mailing address
2100 2ND Street
RM 5314 Uscg HQ, Comdt (CG-1122)
Washington, DC 06320
Phone (860) 444-8402
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 |
|---|---|---|---|
| 2359 | AZ | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uscg Academy | Past | Accepting new patients |
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.
-
- Other Technician
- Washington, DC
- NPI 1255399853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154399707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 2ND STREET",
"address_2": "RM 5314 USCG HQ, COMDT (CG-1122)",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "06320",
"telephone_number": "860-444-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 2ND STREET",
"address_2": "RM 5314 USCG HQ, COMDT (CG-1122)",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "06320",
"telephone_number": "860-444-8402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMWAY",
"first_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "AZ",
"license": "2359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.