Michael D Richardson, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102911 Issued in NY

Practice address

483 Clermont Ave
Brooklyn, NY 11238-2253

Phone

(718) 543-5300

NPI assigned

Jun 16, 2020

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1245855188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EASTERN PKWY APT 2G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386514",
            "telephone_number": "646-221-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 CLERMONT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382253",
            "telephone_number": "718-543-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "102911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade-Lynn Richardson
• Jodi-Ann Richardson, MD
• Johann Andria Richardson
• Lea Marie Richardson
• Margaret Richardson, LMSW, CASAC
• Monica D Richardson, NP
• Morgane Veronique Richardson
• Nicole Renee Richardson
• Noelia I Richardson, DDS
• Rebecca Lee Richardson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.