Active NPI
Michael Scott Richardson, OTR/L
- Occupational Therapist
- Murray, KY
National Provider Identifier
1336408228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- R0056
- Practice address
- 1124 Old Lynn Grove Rd
Murray, KY 42071-8112 - Phone
- (270) 293-5687
- Fax
- (270) 759-5127
- NPI assigned
- May 11, 2012
- Last updated
- May 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | R0056 | KY | Primary |
| Occupational Therapist | 225X00000X | OT103 | TN |
Addresses
Primary practice location
1124 Old Lynn Grove Rd
Murray, KY 42071-8112
Mailing address
1124 Old Lynn Grove Rd
Murray, KY 42071-8112
Phone (270) 293-5687
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 |
|---|---|---|---|
| R0056 | KY | MD | Occupational Therapist |
| OT103 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336694400000",
"number": "1336408228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 OLD LYNN GROVE RD",
"city": "MURRAY",
"state": "KY",
"postal_code": "420718112",
"telephone_number": "270-293-5687",
"fax_number": "270-759-5127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 OLD LYNN GROVE RD",
"city": "MURRAY",
"state": "KY",
"postal_code": "420718112",
"telephone_number": "270-293-5687",
"fax_number": "270-759-5127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-11",
"last_updated": "2012-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "R0056",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "OT103",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, KY
- Kaitlyn Brooks Renard, APRN
- Jaime L Rhodes, APRN-CNS
- Richard H. Crouch, M.D.
- Richard H. Stout, MD PSC (Allergy and Asthma Clinic of W KY)
- Amber Nicole Richardson, LMT
- Tehisha Rochelle Richardson
- Heather Richmond, RD LD/N
- Allison McDaniel Riley, PHARMD
- River Valley Pain Partners LLC
- Robert C. Harris, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.