Active NPI
Victor Richard
- Occupational Therapist
- Saint Paul, MN
National Provider Identifier
1225422215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 104799
- Practice address
- 600 Jackson St
Saint Paul, MN 55101-2371 - Phone
- (651) 254-2326
- NPI assigned
- Mar 27, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 104799 | MN | Primary |
Addresses
Primary practice location
600 Jackson St
Saint Paul, MN 55101-2371
Mailing address
2841 Bryant Ave S Apt 336
Minneapolis, MN 55408-4884
Phone (573) 823-6194
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 |
|---|---|---|---|
| 104799 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427414400000",
"number": "1225422215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2841 BRYANT AVE S APT 336",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554084884",
"telephone_number": "573-823-6194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 JACKSON ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012371",
"telephone_number": "651-254-2326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARD",
"first_name": "VICTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-27",
"last_updated": "2015-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "104799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.