Kevin E. Richardson, O.T.R., CHT. PH.D.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

9619 Issued in CA

Practice address

71703 Highway 111 Ste 1D
Rancho Mirage, CA 92270-4478

Phone

(760) 501-1572

Fax

(760) 406-5887

NPI assigned

Oct 3, 2008

Last updated

Mar 1, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1639320054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67972 NICOLE CT",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922406896",
            "telephone_number": "760-902-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71703 HIGHWAY 111 STE 1D",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704478",
            "telephone_number": "760-501-1572",
            "fax_number": "760-406-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KEVIN",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "O.T.R.,  CHT.  PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-03",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "9619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Anhalt Rice, MFT, PSYD
• Richard a Stone, M.D., a Professional Corporation
• Richard Arthur Bullock DDS
• Richard E. Fausel, D.O, a Professional Corporation
• Holly Richardson, FNP
• Patti H Richardson, MD
• Tera N Richardson, PA-C
• Todd Richardson
• Chadi Richeh
• Wael Richeh, MD

• Occupational Therapist in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.