Active NPI
Rochelle Renee Richardson, LMT
- Massage Therapist
- Cordova, TN
National Provider Identifier
1295010502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8501
- Practice address
- 1175 Vickery LN
Cordova, TN 38016-0682 - Phone
- (901) 751-9489
- Fax
- (901) 751-9031
- NPI assigned
- Oct 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 8501 | TN | Primary |
Addresses
Primary practice location
1175 Vickery LN
Cordova, TN 38016-0682
Mailing address
1175 Vickery LN
Cordova, TN 38016-0682
Phone (901) 751-9489
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8501 | TN | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richardson Consulting & Management Services, LLC | Massage Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Massage Therapist
- Phoenix, AZ
- NPI 1083465611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711843200000",
"number": "1295010502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 VICKERY LN",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380160682",
"telephone_number": "901-751-9489",
"fax_number": "901-751-9031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 VICKERY LN",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380160682",
"telephone_number": "901-751-9489",
"fax_number": "901-751-9031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "ROCHELLE",
"middle_name": "RENEE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-18",
"last_updated": "2024-03-31",
"certification_date": "2024-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TN",
"license": "8501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
- Rheumatology & Dermatology Associates, P.C.
- Rheumatology & Osteoporosis Center of Memphis, P.C
- Marlyna E Rice, LCSW LICENSED CLINIC
- Chanel Lanete Richardson, CCC-SLP
- Porshure Green Richardson, LCSW
- Samantha I Richardson, LPC-MHSP
- Willie D Richardson Sr.
- Sarah D. Richie, PHD
- Ashley Richmond
- Benjamin Edwin Richter, CPHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.