Cullen Brody Richardson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1400556 Issued in TX

Practice address

3267 Bee Caves Rd Ste 126
Austin, TX 78746-6774

Phone

(512) 202-8634

Fax

(512) 961-8907

NPI assigned

Feb 5, 2020

Last updated

Nov 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in MS, TX2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Agilitas USA Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  MS, Physical Therapist, TX

  Medicare reassignment Care Compare group NPD
• Peak Physical Therapy, LLC

  • Physical Therapist
  • Prosper, TX
  • NPI 1700271913
  Medicare reassignment NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Oxford, MS
  • NPI 1477224814

  Physical Therapist

  Medicare reassignment NPD
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Louisville, MS
  • NPI 1952732448
  Medicare reassignment NPD
• Agilitas USA, Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1518695436

  Physical Therapist

  NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Crystal Springs, MS
  • NPI 1801333521
  NPD (past)

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1255963534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3267 BEE CAVES RD STE 126",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466774",
            "telephone_number": "512-202-8634",
            "fax_number": "512-961-8907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Dacy Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kyle",
            "state": "TX",
            "postal_code": "786404194",
            "country_code": "US",
            "telephone_number": "512-213-8001",
            "fax_number": "512-436-0876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5601 Brodie Ln Ste 640",
            "address_purpose": "LOCATION",
            "city": "Sunset Valley",
            "state": "TX",
            "postal_code": "787452551",
            "country_code": "US",
            "telephone_number": "512-580-3055",
            "fax_number": "512-580-3056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1516 Ranch Road 620 S Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lakeway",
            "state": "TX",
            "postal_code": "787346295",
            "country_code": "US",
            "telephone_number": "512-643-0891",
            "fax_number": "512-643-0892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CULLEN",
        "middle_name": "BRODY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6840",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1400556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam A Richardson, DPM
• Betty Lou Richardson, PH.D, R.N., CNS-PSYC
• Blakely S Richardson, D.O.
• Brooke Richardson
• Craig E Richardson, DC
• Dan Richardson, MD
• Genevieve Celeste Richardson, MS, CCC-SLP
• Grace Richardson, MS. CCC-SLP
• Kanisha Richardson
• Leslie Ann Richardson, L.M.T.

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.