Rodney B Richardson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

300345 Issued in CA

Practice address

15681 Concord Ridge Ter
San Diego, CA 92127-4158

Phone

(303) 717-3568

NPI assigned

Aug 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All Star Physical TherapyGroup PAC ID 7719030949, 149 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• All Star Physical Therapy

  • Physical Therapist
  • Murrieta, CA
  • NPI 1750559431
  Medicare reassignment Care Compare group NPD
• Better Physical Therapy

  • Physical Therapist
  • San Diego, CA
  • NPI 1598520710
  NPD Authorized official
• Complete Care Physical Therapy

  • Physical Therapist
  • Ooltewah, TN
  • NPI 1669554325
  NPD
• Dynamx Physical Therapy, Inc. a Physical Therapy Corporation

  • Physical Therapy Clinic/Center
  • Buana Park, CA
  • NPI 1053755041

  Physical Therapist

  NPD (past)
• Physical Therapy Professionals Inc

  • Physical Therapist
  • Arvada, CO
  • NPI 1538157003
  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1306039771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15681 CONCORD RIDGE TER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921274158",
            "telephone_number": "303-717-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15681 CONCORD RIDGE TER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921274158",
            "telephone_number": "303-717-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "RODNEY",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsy Richardson, M.A.
• Larry Joseph Richardson
• Natalie Elise Richardson
• Natalie Marie Richardson
• Patricia Richardson
• Sabrina Richardson
• Saudia Richardson, PSYD
• Shannon Richardson
• Shontay Lashay Richardson, LPCC
• Sunceree S Richardson

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.