Individual provider Active NPI

Talia Richardson

  • Physical Therapist
  • Crossroads, TX
National Provider Identifier
1265073407
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1324813 Issued in TX
Practice address
8800 US Highway 380 Ste 100
Crossroads, TX 76227-2515
Phone
(940) 365-9200
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X
Physical Therapist 225100000X 1324813 TX Primary

Addresses

Primary practice location

8800 US Highway 380 Ste 100
Crossroads, TX 76227-2515

Mailing address

2121 Lake Pine Dr
Little Elm, TX 75068-8600

Other practice location 1

3301 Sundown Blvd
Denton, TX 76210-8032
Phone (940) 387-3700

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL wept

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191029000090 TX Practitioner - Physical Therapist in Private Practice 7618209412 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1324813TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Velocity Physical Therapy, LLC Physical Therapist CurrentSince Oct 2, 2019 Accepting new patients
Velocity Physical Therapy-Cross Roads, LLC Physical Therapist CurrentSince Oct 2, 2019 Accepting new patients

Locations

8800 US Highway 380
Ste 100
Cross Roads, TX 76227
Phone (940) 365-9200

3301 Sundown Blvd
Denton, TX 76210
Phone (940) 387-3700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1265073407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 LAKE PINE DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750688600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 US HIGHWAY 380 STE 100",
            "city": "CROSSROADS",
            "state": "TX",
            "postal_code": "762272515",
            "telephone_number": "940-365-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 Sundown Blvd",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762108032",
            "country_code": "US",
            "telephone_number": "940-387-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "TALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1324813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wept",
            "affiliation": "N",
            "address_1": "8800 US Highway 380 Ste 100",
            "city": "Crossroads",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762272515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crossroads, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.