Positive Performance Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

POSITIVE PERFORMANCE PHYSICAL THERAPY LLC

Doing business as

Traci Richardson, DPT

Practice address

611 University Dr Ste 211
State College, PA 16801-6552

Phone

(814) 441-9183

Fax

(833) 277-6195

NPI assigned

Dec 30, 2022

Last updated

Oct 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Traci L Richardson, DPTNPI 1972504769

Title

Owner

Phone

(814) 441-9183

Specialties & licenses 1

Addresses

Other names 1

• Traci Richardson, DPT Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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.

• Traci L Richardson, DPT

  • Physical Therapist
  • State College, PA
  • NPI 1972504769
  Medicare reassignment Authorized official
• Lisa Koslicki, DPT

  • Physical Therapist
  • State College, PA
  • NPI 1578016234
  Medicare reassignment

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791590400000",
    "number": "1619680105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 UNIVERSITY DR STE 211",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016552",
            "telephone_number": "814-441-9183",
            "fax_number": "833-277-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 UNIVERSITY DR STE 211",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016552",
            "telephone_number": "814-441-9183",
            "fax_number": "833-277-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE PERFORMANCE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-30",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-10",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-441-9183",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "positiveperformance@trichardsondpt.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1146 Karen St",
            "city": "Boalsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168271642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Traci Richardson, DPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaylee Mae Polohonki, PTA
• Laura C Pondel, PHARM D
• Kathy McDonald Pons, PT
• Nicholas James Popchak, PHYSICIAN ASSISTANT
• Elizabeth Amy Porter, SLP
• Christy Lynne Potts-Griffiths, PHARMD
• Connie G. Powell, PSY.D.
• Emily Marie Powell
• James R Powell Jr., MD
• Powerback Rehabilitation LLC (Powerback Rehabilitation)

• Physical Therapy Clinic/Center in State College, PA
• Providers in State College, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; 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.