Gina L Richardson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

034271 Issued in NY

Practice address

1818 Newkirk Ave
Lobby D
Brooklyn, NY 11226-7359

Phone

(718) 404-2539

Fax

(718) 421-5391

NPI assigned

Oct 27, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Community Physical Therapy of Brooklyn, PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1326050980
  NPD (past)

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1154607703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 NEWKIRK AVE",
            "address_2": "LOBBY D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267359",
            "telephone_number": "718-404-2539",
            "fax_number": "718-421-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 NEWKIRK AVE",
            "address_2": "LOBBY D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112267359",
            "telephone_number": "718-404-2539",
            "fax_number": "718-421-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "GINA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Richardson, RN, BSN, BA, IBCLC
• Ayanna Richardson
• Carrissa Richardson
• Daniela Richardson
• Georgia S Richardson, RD,CDE
• Glenn Richardson, CASEMANAGER
• Jade-Lynn Richardson
• Jodi-Ann Richardson, MD
• Johann Andria Richardson
• Lea Marie Richardson

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.