Individual provider Active NPI

Maria Angelina Richardson, PT, DPT

  • Physical Therapist
  • Cartersville, GA
National Provider Identifier
1639843402
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015432 Issued in GA
Practice address
15 Medical Dr NE Ste 101
Cartersville, GA 30121-8005
Phone
(770) 386-5221
Fax
(770) 386-1128
NPI assigned
Aug 5, 2021
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015432 GA Primary

Addresses

Primary practice location

15 Medical Dr NE Ste 101
Cartersville, GA 30121-8005

Mailing address

2155 Post Oak Tritt Rd Ste 400
Marietta, GA 30062-1651
Phone (770) 565-4044

Other practice location 1

2155 Post Oak Tritt Rd Ste 400
Marietta, GA 30062-1651
Phone (770) 565-4044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231010001282 GA Practitioner - Physical Therapist in Private Practice 8022463116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15 Medical Dr NE
Suite 101
Cartersville, GA 30121-8005
Phone 80084152003240

Merit-based Incentive Payment System (MIPS)

Final score
85.44 of 100Reported as group
Quality
66.55
Promoting interoperability
100
Improvement activities
40
Cost
84.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Bone & Joint Surgeons, P.C, CurrentSince Sep 6, 2023 Accepting new patients
Georgia Bone & Joint Surgeons, P.C. Past Accepting new patients

Locations

15 Medical Dr NE
Ste 101
Cartersville, GA 30121
Phone (770) 386-5221

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24010/brand/1/csg/1/fhir/r4
  • Direct secure messaging: maria.richardson.1@24010.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1639843402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 POST OAK TRITT RD STE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621651",
            "telephone_number": "770-565-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MEDICAL DR NE STE 101",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301218005",
            "telephone_number": "770-386-5221",
            "fax_number": "770-386-1128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2155 Post Oak Tritt Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300621651",
            "country_code": "US",
            "telephone_number": "770-565-4044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MARIA",
        "middle_name": "ANGELINA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.

Verify at the official NPI Registry.