Individual provider Active NPI

Andrew George Richardson, PT, DPT

  • Physical Therapist
  • Twin Falls, ID
National Provider Identifier
1164071072
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5171067 Issued in ID
Practice address
421 Washington St N
Twin Falls, ID 83301-4633
Phone
(208) 735-9011
NPI assigned
Sep 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 5171067 ID Primary

Addresses

Primary practice location

421 Washington St N
Twin Falls, ID 83301-4633

Mailing address

1053 Eastland Dr
Twin Falls, ID 83301-6747
Phone (208) 736-9011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250611003499 ID Practitioner - Physical Therapist in Private Practice 8325558976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bodybalance PT Twin Falls LLCGroup PAC ID 0143456814, 6 clinicians

Practice addresses (Care Compare)

421 Washington St N
Twin Falls, ID 83301-4633
Phone (208) 735-9011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bodybalance PT Twin Falls LLC Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients
BBPT Inc Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients

Locations

423 Idaho St
#A
Gooding, ID 83330
Phone (208) 934-9011

1053 Eastland Dr
Twin Falls, ID 83301
Phone (208) 736-9011

421 Washington St N
Twin Falls, ID 83301
Phone (208) 735-9011

Organizations & group practices 2

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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1164071072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 EASTLAND DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016747",
            "telephone_number": "208-736-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 WASHINGTON ST N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014633",
            "telephone_number": "208-735-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ANDREW",
        "middle_name": "GEORGE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "5171067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.