Active NPI
Cynthia Richmond, P.T.
- Pediatric Physical Therapist
- Phoenix, AZ
National Provider Identifier
1659404150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 32331
- Practice address
- 1617 S 67TH Ave
Phoenix, AZ 85043-7717 - Phone
- (623) 707-4500
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 32331 | AZ | Primary |
Addresses
Primary practice location
1617 S 67TH Ave
Phoenix, AZ 85043-7717
Mailing address
15164 N 140TH Dr Apt 3110
Surprise, AZ 85379-8590
Phone (209) 481-5093
Other practice location 1
1600 S 107th Ave
Avondale, AZ 85323-2209
Phone (623) 478-5600
Other practice location 2
15116 N Cotton Ln
Surprise, AZ 85388-9618
Phone (623) 322-8250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32331 | AZ | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T.E.a.M. 4 Kids, LLC | Pediatrics | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689984000000",
"number": "1659404150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15164 N 140TH DR APT 3110",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853798590",
"telephone_number": "209-481-5093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 S 67TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850437717",
"telephone_number": "623-707-4500"
}
],
"practiceLocations": [
{
"address_1": "1600 S 107th Ave",
"address_purpose": "LOCATION",
"city": "Avondale",
"state": "AZ",
"postal_code": "853232209",
"country_code": "US",
"telephone_number": "623-478-5600",
"fax_number": "623-478-5625",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15116 N Cotton Ln",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853889618",
"country_code": "US",
"telephone_number": "623-322-8250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHMOND",
"first_name": "CYNTHIA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2023-07-22",
"certification_date": "2023-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AZ",
"license": "32331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.