Active NPI
Paris Nicole Richardson, PT,DPT
- Pediatric Physical Therapist
- Springdale, AR
National Provider Identifier
1558841700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 4513
- Practice address
- 922 E Emma Ave
Springdale, AR 72764-4503 - Phone
- (479) 770-0788
- NPI assigned
- Aug 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 4513 | AR | Primary |
Addresses
Primary practice location
922 E Emma Ave
Springdale, AR 72764-4503
Mailing address
707 Crystal St
Lowell, AR 72745-8814
Phone (479) 422-3692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Arkansas College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1231 David Dr
Morgan City, LA 70380-1321
Phone (985) 385-3222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4513 | AR | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Institute of the South, LLC | Current | Accepting new patients | |
| Laborde Therapy Center LLC | Physical Therapist | Current | Accepting new patients |
| Laborde Hand and Occupational Therapy Center | Past | Accepting new patients |
Locations
2727 Kaliste Saloom Rd
Ste 101
Lafayette, LA 70508
Phone (337) 981-4053
1231 David Dr
Morgan City, LA 70380
Phone (985) 385-3222
106 Oceans Blvd
Youngsville, LA 70592
Phone (337) 451-2468
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Houma, LA
- NPI 1982689113
-
- Occupational Therapist
- Lafayette, LA
- NPI 1316275027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1558841700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 CRYSTAL ST",
"city": "LOWELL",
"state": "AR",
"postal_code": "727458814",
"telephone_number": "479-422-3692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 E EMMA AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727644503",
"telephone_number": "479-770-0788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "PARIS",
"middle_name": "NICOLE",
"credential": "PT,DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-17",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AR",
"license": "4513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.