Active NPI
Richelle L Richards, P.T.A.
- Physical Therapy Assistant
- Orlando, FL
National Provider Identifier
1336270750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 18465
- Practice address
- 100 W Gore St
Suite 300
Orlando, FL 32806-1044 - Phone
- (407) 254-2558
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA 18465 | FL | Primary |
Addresses
Primary practice location
100 W Gore St
Suite 300
Orlando, FL 32806-1044
Mailing address
1000 Nodding Pines Way
Casselberry, FL 32707-5913
Phone (407) 677-7584
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 |
|---|---|---|---|
| PTA 18465 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336270750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 NODDING PINES WAY",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327075913",
"telephone_number": "407-677-7584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W GORE ST",
"address_2": "SUITE 300",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061044",
"telephone_number": "407-254-2558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "RICHELLE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA 18465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.