Active NPI
Dalinda Richardson, PTA
- Physical Therapist
- Eastpointe, MI
National Provider Identifier
1376908707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5502004767
- Practice address
- 18200 E Tenmile Road
200
Eastpointe, MI 48021 - Phone
- (586) 771-7500
- Fax
- (586) 486-1700
- NPI assigned
- Dec 30, 2015
- 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 Therapist | 225100000X | 5502004767 | MI | Primary |
Addresses
Primary practice location
18200 E Tenmile Road
200
Eastpointe, MI 48021
Mailing address
18200 E Tenmile Road
200
Eastpointe, MI 48021
Phone (586) 771-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5502004767 | Other | MI | MICHIGAN LICENSE |
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 |
|---|---|---|---|
| 5502004767 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Care Rehab LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Hospital Unit
- Saint Clair Shores, MI
- NPI 1801844220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1376908707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18200 E TENMILE ROAD",
"address_2": "200",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "48021",
"telephone_number": "586-771-7500",
"fax_number": "586-486-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18200 E TENMILE ROAD",
"address_2": "200",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "48021",
"telephone_number": "586-771-7500",
"fax_number": "586-486-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "DALINDA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-30",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5502004767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN LICENSE",
"identifier": "5502004767",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eastpointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.