Active NPI
Cindy K Richards, PT, OCS, MTC, MBA
- Physical Therapist
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT001438
- Practice address
- 732 Kennesaw Ave.
Ste 120
Marietta, GA 30060-9406 - Phone
- (770) 425-4205
- Fax
- (770) 425-4247
- NPI assigned
- Jun 8, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT001438 | GA | Primary |
Addresses
Primary practice location
732 Kennesaw Ave.
Ste 120
Marietta, GA 30060-9406
Mailing address
732 Kennesaw Ave.
Suite 120
Marietta, GA 30060-9406
Phone (770) 425-4205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1981
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
732 Kennesaw Ave
Suite 120
Marietta, GA 30060-9406
732 Kennesaw Ave NW
Suite 120
Marietta, GA 30060-9406
732 Kennesaw Nwave
Suite 120
Marietta, GA 30060
732 Kennesaw Nwave
Suite 120
Marietta, GA 30060-9406
Phone (770) 425-4205
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1438 | GA | MD | Addiction (Substance Use Disorder) Counselor |
| PT001438 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Consultants Inc | Physical Therapist | Current | Accepting new patients |
Locations
732 Kennesaw Ave NW
Ste 120
Marietta, GA 30060
Phone (770) 425-4205
Organizations & group practices 1
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
- Marietta, GA
- NPI 1013997113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393372800000",
"number": "1639372287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 KENNESAW AVE.",
"address_2": "SUITE 120",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300609406",
"telephone_number": "770-425-4205",
"fax_number": "770-425-4247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 KENNESAW AVE.",
"address_2": "STE 120",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300609406",
"telephone_number": "770-425-4205",
"fax_number": "770-425-4247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "CINDY",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "PT, OCS, MTC, MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2014-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT001438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.