Individual provider Active NPI

Noah Timothy Tyler Richards, PTA

  • Physical Therapist
  • Palmer, AK
National Provider Identifier
1508451402
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
248324 Issued in AK
Practice address
1734 Prospect Drive
Palmer, AK 99645
Phone
(907) 745-2222
Fax
(907) 746-7471
NPI assigned
Mar 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 248324 AK Primary
Physical Therapy Assistant 225200000X 168352 AK

Addresses

Primary practice location

1734 Prospect Drive
Palmer, AK 99645

Mailing address

1150 S Colony Way Ste 3
Palmer, AK 99645-6972
Phone (907) 745-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260402001783 AK Practitioner - Physical Therapist in Private Practice 5496230815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Baylor College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arctic Chiropractic East Mat-Su LLCGroup PAC ID 5193001600, 8 clinicians

Practice addresses (Care Compare)

1734 N Prospect Dr
Palmer, AK 99645-9655
Phone (907) 746-7842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
168352AKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arctic Medical Center Matsu CurrentSince Mar 7, 2021 Accepting new patients

Locations

1150 S Colony Way
Ste 3
Palmer, AK 99645

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1508451402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S COLONY WAY STE 3",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456972",
            "telephone_number": "907-745-2222",
            "fax_number": "907-746-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 PROSPECT DRIVE",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-745-2222",
            "fax_number": "907-746-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "NOAH",
        "middle_name": "TIMOTHY TYLER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-03",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "248324",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AK",
            "license": "168352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.