Mickaela Jill Richardson, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0112887 Issued in VT

Practice address

222 S Main St
Rochester, VT 05767-9679

Phone

(802) 767-7117

Fax

(802) 213-1234

NPI assigned

Jul 21, 2011

Last updated

Jun 24, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of New England, College of Osteo Medicine, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hometown Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Rochester, VT
  • NPI 1396445268

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Catalyst Physiotherapy LLC

  • Physical Therapy Clinic/Center
  • Rochester, VT
  • NPI 1932571221

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1376831586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S MAIN ST",
            "city": "ROCHESTER",
            "state": "VT",
            "postal_code": "057679679",
            "telephone_number": "802-345-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S MAIN ST",
            "city": "ROCHESTER",
            "state": "VT",
            "postal_code": "057679679",
            "telephone_number": "802-767-7117",
            "fax_number": "802-213-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MICKAELA",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0112887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catalyst Physiotherapy LLC
• Kathleen Marie Douglas
• Gifford Health Care, Inc (Rochester Health Center)
• Hometown Physical Therapy PLLC
• Robert Moramarco, OTR
• Lauren Scogin, LICSW

• Physical Therapist in Rochester, VT
• Providers in Rochester, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.