Theresa Jeanette Richardson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006158 Issued in MI

Practice address

1101 W University Dr
Rochester, MI 48307-1863

Phone

(248) 652-5000

Fax

(248) 650-9160

NPI assigned

Sep 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Theresa Jeanette Cyr Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Iha Olma Specialty Services LLC

  dba THIMG Obstetrics & Gynecology Bloomfield Hills

  • Obstetrics & Gynecology Physician
  • Bloomfield Township, MI
  • NPI 1457949588
  Medicare reassignment NPD
• Henry Ford Health Rochester Hospital

  • Neurology Physician
  • Rochester, MI
  • NPI 1366565442
  Medicare reassignment
• SJMH Medical Practice-SMHC

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1346284684
  Medicare reassignment
• Specialists in Rehabilitation Medicine PC

  • Physical Medicine & Rehabilitation Physician
  • Rochester, MI
  • NPI 1336114537
  Medicare reassignment
• SJMH Medical Practice-SMHC

  • Urgent Care Clinic/Center
  • Waterford, MI
  • NPI 1366644551
  NPD
• Mendelson Orthopedics PC

  • Orthopaedic Surgery Physician
  • Livonia, MI
  • NPI 1720153463
  NPD (past)

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1285916825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W UNIVERSITY DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071863",
            "telephone_number": "248-652-5000",
            "fax_number": "248-650-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W UNIVERSITY DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071863",
            "telephone_number": "248-652-5000",
            "fax_number": "248-650-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "THERESA",
        "middle_name": "JEANETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "CYR",
            "middle_name": "JEANETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven C Reynolds, DDS
• Melissa Ann Ribbey, LLPC
• Elvedina Ribic, MSN, APRN, FNP-BC
• Michelle R Richards
• Deja Richardson
• Susan Lee Riggan
• John Riley, PA-C
• Philip Riley
• Ulrich O Ringwald, MD
• Christie Marie Rivard

• Physician Assistant in Rochester, MI
• Providers in Rochester, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.