Active NPI
Pamela Joanne Richardson, P.T.
- Physical Therapist
- Riverton, WY
National Provider Identifier
1154583656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT # 1185
- Practice address
- 1002 Forest Dr
Riverton, WY 82501-2918 - Phone
- (307) 856-9471
- NPI assigned
- Jun 26, 2008
- 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 | PT # 1185 | WY | Primary |
Addresses
Primary practice location
1002 Forest Dr
Riverton, WY 82501-2918
Mailing address
PO Box 1021
Lander, WY 82520-1021
Phone (307) 349-2425
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 |
|---|---|---|---|
| PT # 1185 | WY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1154583656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1021",
"city": "LANDER",
"state": "WY",
"postal_code": "825201021",
"telephone_number": "307-349-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 FOREST DR",
"city": "RIVERTON",
"state": "WY",
"postal_code": "825012918",
"telephone_number": "307-856-9471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "PAMELA",
"middle_name": "JOANNE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT # 1185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.