Active NPI
Timothy Ryan Hudson, M.D., M.H.A.
- Physical Medicine & Rehabilitation Physician
- Richmond, VA
National Provider Identifier
1497877484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 0101247269
- Practice address
- 1201 Broad Rock Blvd
Richmond, VA 23249 - Phone
- (804) 675-5000
- NPI assigned
- Apr 3, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0101247269 | VA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 0101247269 | VA | Primary |
| Spinal Cord Injury Medicine Physician | 2081P0004X | 0101247269 | VA | |
| Integrative Medicine Physician | 202D00000X | 0101247269 | VA | |
| Medical Technologist | 246QM0706X |
Addresses
Primary practice location
1201 Broad Rock Blvd
Richmond, VA 23249
Mailing address
10431 Patterson Ave Ste 30
Henrico, VA 23238-5101
Phone (804) 601-1550
Other practice location 1
10431 Patterson Ave Ste 30
Henrico, VA 23238-5101
Phone (804) 601-1550
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774656000000",
"number": "1497877484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10431 PATTERSON AVE STE 30",
"city": "HENRICO",
"state": "VA",
"postal_code": "232385101",
"telephone_number": "804-601-1550",
"fax_number": "303-351-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 BROAD ROCK BLVD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23249",
"telephone_number": "804-675-5000"
}
],
"practiceLocations": [
{
"address_1": "10431 Patterson Ave Ste 30",
"address_purpose": "LOCATION",
"city": "Henrico",
"state": "VA",
"postal_code": "232385101",
"country_code": "US",
"telephone_number": "804-601-1550",
"fax_number": "303-351-7616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUDSON",
"first_name": "TIMOTHY",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "M.D., M.H.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2026-03-28",
"certification_date": "2026-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "VA",
"license": "0101247269",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "0101247269",
"primary": true
},
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "VA",
"license": "0101247269",
"primary": false
},
{
"code": "202D00000X",
"taxonomy_group": "",
"desc": "Integrative Medicine",
"state": "VA",
"license": "0101247269",
"primary": false
},
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.