Active NPI
Courtney Richard, PTA
- Physical Therapist
- Ocala, FL
National Provider Identifier
1497865158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 5481 SW 41St St
Suite 102
Ocala, FL 34474 - Phone
- (352) 873-1122
- NPI assigned
- Aug 30, 2006
- 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 | Primary |
Addresses
Primary practice location
5481 SW 41St St
Suite 102
Ocala, FL 34474
Mailing address
2901 SW 41St St
Apt 1114
Ocala, FL 34474-7449
Phone (850) 699-8563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA20238 | Other | FL | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1497865158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 SW 41ST ST",
"address_2": "APT 1114",
"city": "OCALA",
"state": "FL",
"postal_code": "344747449",
"telephone_number": "850-699-8563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5481 SW 41ST ST",
"address_2": "SUITE 102",
"city": "OCALA",
"state": "FL",
"postal_code": "34474",
"telephone_number": "352-873-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARD",
"first_name": "COURTNEY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "PTA20238",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.