Kimberly Donn Rogers Richardson, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1114155 Issued in TX

Practice address

607 Rolling Green Dr
Lakeway, TX 78734-5224

Phone

(512) 587-9491

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1205983418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 ROLLING GREEN DR",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345224",
            "telephone_number": "512-587-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 ROLLING GREEN DR",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345224",
            "telephone_number": "512-587-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KIMBERLY",
        "middle_name": "DONN ROGERS",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1114155",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1114155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Retina of Austin, PA
• Ziba Rezaee, M.D.
• Kyle Murphy Rhodes, MD
• Jeffrey Jack Rice, MD
• Lindsey E. Richards, MD
• Bryant Roberson, APRN-CNP
• Robert Dalfonso DDS PA
• Julian Roberts
• James A Robin, DC
• Kris Ann Robinson, PSYD, LP

• Pediatric Physical Therapist in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Pediatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.