Active NPI
Jeffrey Mark Richards, PT
- Physical Therapist
- Honesdale, PA
National Provider Identifier
1386832533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-001173-E
- Practice address
- 601 Park St
Honesdale, PA 18431-1445 - Phone
- (570) 253-8100
- NPI assigned
- Oct 11, 2007
- Sex
- Male
- 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 | PT-001173-E | PA | Primary |
Addresses
Primary practice location
601 Park St
Honesdale, PA 18431-1445
Mailing address
1420 Turkey Ridge Rd Unit D
Surfside Beach, SC 29575-8233
Phone (814) 397-4050
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 |
|---|---|---|---|
| PT-001173-E | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1386832533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 TURKEY RIDGE RD UNIT D",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295758233",
"telephone_number": "814-397-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 PARK ST",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184311445",
"telephone_number": "570-253-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "JEFFREY",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT-001173-E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honesdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.