Amanda Jean Richie

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13525 Issued in MN

Practice address

640 Jackson St
Saint Paul, MN 55101-2502

Phone

(651) 254-3456

NPI assigned

Jun 6, 2024

Reactivated

Jun 21, 2024

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1659112134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 HAZELWOOD ST APT 208",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091134",
            "telephone_number": "651-270-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "651-254-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHIE",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-06",
        "deactivation_date": "2024-06-06",
        "reactivation_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Richardson, LICSW
• Randal C Richardson, M.D., M.M.S.
• Thomas Richardson, MA, LP
• Constance Lee Richert, R.N.
• Melanie Richert, FNP-BC
• Joanne Sue Richie, RN
• Mason Richlen, DPT, PT
• Joni M Richmond, DDS
• Adrienne Jeanette Richter, PA
• Ann E. Richter, OTR

• Physical Therapist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.