Richard Thomas Eldridge

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA4862 Issued in MS

Practice address

5140 Galaxie Dr
Jackson, MS 39206-4335

Phone

(601) 707-3285

NPI assigned

Apr 18, 2022

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• Inmotion Rehab LLC

  • Physical Therapy Assistant
  • Jackson, MS
  • NPI 1801435334
  NPD Authorized official

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1245973114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 GALAXIE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064335",
            "telephone_number": "601-707-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 GALAXIE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064335",
            "telephone_number": "601-707-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "RICHARD",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PTA4862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ekaa Healthcare LLC
• Vindhya Kumari Ekanayake
• Neva Penton Eklund, D.M.D.
• El Roi Counseling Services, LLC
• Alec Micheal Elder, DO
• Electrodiagnostic Consultants, PLLC
• Sarah Jessica Eley
• Elite Case Management Agency LLC
• Elite Healthcare Alliance
• Elite Healthcare Alliance

• Physical Therapy Assistant in Jackson, MS
• Providers in Jackson, MS by specialty
• Physical Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.