Active NPI
Kelli Richardsons 406 Physical Therapy LLC
- Physical Therapist
- Billings, MT
National Provider Identifier
1447898549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- KELLI RICHARDSONS 406 PHYSICAL THERAPY LLC
- Practice address
- 801 14TH St W Ste B
Billings, MT 59102-5364 - Phone
- (406) 672-7844
- NPI assigned
- Dec 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Kelli Richardson
- Title
- Owner
- Phone
- (406) 672-7844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
801 14TH St W Ste B
Billings, MT 59102-5364
Mailing address
PO Box 23372
Billings, MT 59104-3372
Phone (406) 672-7844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200227002057 | MT | Part B Supplier - Clinic/Group Practice | 7113354374 |
Receives reassigned benefits from 1 practitioner Practice locations: Billings, MT |
National Provider Directory
National Provider DirectoryLocations
801 14th St W
Ste B
Billings, MT 59102
Phone (406) 672-7844
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Billings, MT
- NPI 1760524730
MT, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580169600000",
"number": "1447898549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23372",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591043372",
"telephone_number": "406-672-7844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 14TH ST W STE B",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591025364",
"telephone_number": "406-672-7844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELLI RICHARDSONS 406 PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-19",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "KRISTEN",
"authorized_official_middle_name": "KELLI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-672-7844"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.