Active NPI
Kristin Richardson
- Physical Medicine & Rehabilitation Physician
- Fountain, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PTL.0017685
- Practice address
- 901 N Santa Fe Ave
Fountain, CO 80817-1738 - Phone
- (719) 822-0550
- NPI assigned
- Jul 8, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | PTL.0017685 | CO | Primary |
Addresses
Primary practice location
901 N Santa Fe Ave
Fountain, CO 80817-1738
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
1071 W Blue Starr Dr
Claremore, OK 74017-2868
Phone (918) 341-4343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
6029 Forest Ln
Dallas, TX 75230
Phone (469) 872-7548
2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462
410 W FM 544
Ste 105
Murphy, TX 75094
Phone (469) 606-5003
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
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 and National Provider Directory roles.
-
- Physical Therapist
- Plano, TX
- NPI 1538573746
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1548831795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N SANTA FE AVE",
"city": "FOUNTAIN",
"state": "CO",
"postal_code": "808171738",
"telephone_number": "719-822-0550"
}
],
"practiceLocations": [
{
"address_1": "1071 W Blue Starr Dr",
"address_purpose": "LOCATION",
"city": "Claremore",
"state": "OK",
"postal_code": "740172868",
"country_code": "US",
"telephone_number": "918-341-4343",
"fax_number": "918-341-8687",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDSON",
"first_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "PTL.0017685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.