James Kerry Richardson, RPT
Individual provider Active NPI Physical Therapist · Vernon, AL
NPI 1679615728 · NPPES record last updated Jun 12, 2025
Key facts
- NPI
- 1679615728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTH 2757 (AL)
- Practice address
- 314 Columbus Ave NW
Vernon, AL 35592-5703 - Phone
- (205) 695-5111
- Fax
- (205) 695-5110
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of South Alabama College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
314 Columbus Ave NW
Vernon, AL 35592-5703
Phone (205) 695-5111
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050318000255 | AL | Practitioner - Physical Therapist in Private Practice | 3870548274 |
Reassigns benefits to 1 organization Practice locations: Vernon, AL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH 2757 | AL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH 2757 | AL | Yes |
Addresses
Primary practice location
314 Columbus Ave NW
Vernon, AL 35592-5703
Mailing address
PO Box 1641
Vernon, AL 35592-1641
Phone (205) 695-5111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51048213 | Other | AL | BC/BS PROVIDER NUMBER |
| 051524507 | Other | AL | BLUE CROSS PROVIDER # |
Other providers in Vernon, AL
- Katlyn Bryant Norton
- Jason Patterson
- Amber Diane Pennington
- Landon Childs Reeves
- Renew Rehab and Wellness, LLC
- Southcare Health and Rehab of Vernon, LLC
- Southland Health Services of Alabama, Inc.
- State of Alabama
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.