Individual provider Active NPI

Lynn Amy Richardson, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Dayton, OH
National Provider Identifier
1447568019
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
34.007002 Issued in OH
Practice address
1785 E Social Row Rd
Dayton, OH 45458-4728
Phone
(937) 885-0627
NPI assigned
Sep 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 34.007002 OH Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 34-007002 OH

Addresses

Primary practice location

1785 E Social Row Rd
Dayton, OH 45458-4728

Mailing address

1785 E Social Row Rd
Dayton, OH 45458-4728
Phone (937) 885-0627

Other identifiers 1

IdentifierTypeStateIssuer
0093366MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131203001844 OH Practitioner - Physical Medicine and Rehabilitation 0648207274 Reassigns benefits to 1 organization
Practice locations: Centerville, OH; Dayton, OH

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1785 E Social Row Rd
Dayton, OH 45458-4728
Phone (937) 901-3934

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • West Chester Hospital Hospital, West Chester, OH, CCN 360354
  • Liberty Rehabilitation Hospital Inpatient rehabilitation facility, Liberty Township, OH, CCN 363045

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.007002OHMDPhysical Medicine & Rehabilitation Physician
34-007002OHMDSports Medicine (Physical Medicine & Rehabilitation) Physician

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1447568019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 E SOCIAL ROW RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454584728",
            "telephone_number": "937-885-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 E SOCIAL ROW RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454584728",
            "telephone_number": "937-885-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "LYNN",
        "middle_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "34.007002",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "OH",
            "license": "34-007002",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093366",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.