Active NPI
Brian Alan Richardson, PT
- Physical Therapist
- Gahanna, OH
National Provider Identifier
1255469375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 156 Granville St
Gahanna, OH 43230-6505 - Phone
- (614) 470-6240
- Fax
- (614) 470-6244
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
156 Granville St
Gahanna, OH 43230-6505
Mailing address
615 Lazelle Rd
Westerville, OH 43081-9541
Phone (843) 364-6922
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255469375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 LAZELLE RD",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430819541",
"telephone_number": "843-364-6922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 GRANVILLE ST",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432306505",
"telephone_number": "614-470-6240",
"fax_number": "614-470-6244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "BRIAN",
"middle_name": "ALAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gahanna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.