Randal S Richardson, P.T.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT006483 Issued in OH

Practice address

4230 E. National Road (Rear)
Springfield, OH 45505-1714

Phone

(937) 323-8000

Fax

(937) 323-6960

NPI assigned

Nov 13, 2006

Last updated

May 16, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Regional Occupational Health Clinics, LLC

  dba Innovative Healthcare

  • Family Medicine Physician
  • Springfield, OH
  • NPI 1013161215
  Medicare reassignment NPD
• PT Link LLC

  • Physical Therapist
  • Toledo, OH
  • NPI 1902149990
  Medicare reassignment
• Genesis Physical Therapy & Wellness Center, L.L.C.

  • Physical Medicine & Rehabilitation Physician
  • Springfield, OH
  • NPI 1215008990
  NPD (past) Authorized official
• Flexeon Rehabilitation Springfield Ohio, LLC

  • Physical Therapy Clinic/Center
  • Springfield, OH
  • NPI 1912208414
  NPD (past)
• Professional Therapeutic Services, Inc.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Piqua, OH
  • NPI 1023686979
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1518038314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 E. NATIONAL ROAD (REAR)",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051714",
            "telephone_number": "937-323-8000",
            "fax_number": "937-323-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 E. NATIONAL ROAD (REAR)",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051714",
            "telephone_number": "937-323-8000",
            "fax_number": "937-323-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "RANDAL",
        "middle_name": "S",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "PT006483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2587606",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Missty Rhodes
• Amber Dawn Rice
• Robert Joseph Rice
• Richard G McNeely DO LLC
• Jill Marie Richardson, LPN
• David L Richey
• Isabella Edita Richter, BA, CDCA
• Jamie Rickard, CPRS
• Maggie Ridder
• Monica R Riedell, LPC

• Physical Medicine & Rehabilitation Physician in Springfield, OH
• Providers in Springfield, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.

Verify at the official NPI Registry.