Bennett D Richardson, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT026340 Issued in PA

Practice address

507 Pittsburgh St
Springdale, PA 15144-1409

Phone

(724) 275-7827

Fax

(724) 275-7749

NPI assigned

Nov 10, 2017

Last updated

Nov 10, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510272000000",
    "number": "1164935243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 PITTSBURGH ST",
            "city": "SPRINGDALE",
            "state": "PA",
            "postal_code": "151441409",
            "telephone_number": "724-275-7827",
            "fax_number": "724-275-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 PITTSBURGH ST",
            "city": "SPRINGDALE",
            "state": "PA",
            "postal_code": "151441409",
            "telephone_number": "724-275-7827",
            "fax_number": "724-275-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "BENNETT",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-10",
        "last_updated": "2017-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT026340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha J Machnik, ATC, PES, SES
• Harold S.David Mock II, DMD
• Maxwell David Mock, D.M.D.
• Frederick Jon Moffitt, DMD
• Lauren Pastucha, O.D.
• David M Sevic, RPH
• Marcy E Sparks, DPT
• Springdale Volunteer Fire Dept
• Damon Virgil Taggart, DC
• Hillary Turner, MOT, OTR/L

• Orthopedic Physical Therapist in Springdale, PA
• Providers in Springdale, PA by specialty
• Orthopedic Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; 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.