Candace Marie Richards, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2274 Issued in ID

Practice address

5255 W Overland Rd
Boise, ID 83705-2637

Phone

(208) 338-9486

Fax

(208) 338-9586

NPI assigned

Aug 23, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Osteoarthritis Centers of America Medical Group PC

  • Pain Clinic/Center
  • Bluffdale, UT
  • NPI 1376844886
  NPD (past)
• Osteoarthritis Centers of America Medical Group PC

  dba OsteoArthritis Centers of America

  • Pain Clinic/Center
  • Reno, NV
  • NPI 1508137886
  NPD (past)

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1356534218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052637",
            "telephone_number": "208-338-9486",
            "fax_number": "208-338-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052637",
            "telephone_number": "208-338-9486",
            "fax_number": "208-338-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "CANDACE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT2274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT2274",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard F Uhlmann, MD Chartered
• Richard J. Pines, D.O., PLLC
• Richard Lochhead MD PLLC
• Richard Montgomery MD PC
• Richard Radnovich DO PC
• Jennifer Richards
• Kristin Sue Richards, LCSW
• Sarah Jean Richards, LCSW
• Angie Richardson
• Jeffery Carl Richardson, CRNA-DNP

• Physical Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.