NPIMap

Organization Active NPI

Richards Physical Therapy Inc

Doing business as DBA Professional Physical Therapy

  • Physical Therapist
  • Mission Viejo, CA
National Provider Identifier
1528065588
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
W15939 Issued in CA
Legal business name
RICHARDS PHYSICAL THERAPY INC
Doing business as
DBA Professional Physical Therapy
Practice address
26471 Crown Valley Pkwy
Ste 200
Mission Viejo, CA 92691-6378
Phone
(949) 916-2601
Fax
(949) 916-2302
NPI assigned
Jul 6, 2005
Last updated
Feb 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Mr. Dennus A. Richards, PTNPI 1417990060
Title
Pres/Owner
Phone
(949) 916-2601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT5808 CA
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X W15939 CA Primary

Addresses

Primary practice location

26471 Crown Valley Pkwy
Ste 200
Mission Viejo, CA 92691-6378

Mailing address

26471 Crown Valley Pkwy
Ste 200
Mission Viejo, CA 92691-6378
Phone (949) 916-2601

Other names 1

  • DBA Professional Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060414000128 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820007156 Receives reassigned benefits from 8 practitioners
Practice locations: Mission Viejo, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Professional Phys Thera2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

26471 Crown Valley Pkwy
Ste 102
Mission Viejo, CA 92691
Phone (949) 916-2601

4218 Arendell St
Ste M
Morehead City, NC 28557
Phone (252) 808-3100

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1528065588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26471 CROWN VALLEY PKWY",
            "address_2": "STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916378",
            "telephone_number": "949-916-2601",
            "fax_number": "949-916-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26471 CROWN VALLEY PKWY",
            "address_2": "STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916378",
            "telephone_number": "949-916-2601",
            "fax_number": "949-916-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-06",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "DENNUS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "949-916-2601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT5808",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "W15939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Professional Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.