Richard Viduya, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06002545A Issued in IN

Practice address

5430 W US 40
Greenfield, IN 46140-8803

Phone

(317) 894-3301

NPI assigned

Sep 20, 2012

Sex

Male

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": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1699026484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 PALOMINO TRL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462399543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 W US 40",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461408803",
            "telephone_number": "317-894-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDUYA",
        "first_name": "RICHARD",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06002545A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariah Vandivier, LCSW
• Latosha Vanduyn
• Rebecca Vardaman, MA, RDN, LD
• Breanna Vaughn, PT, DPT
• Vickie Beeson LLC Dba Senior Helpers
• Kasey P Vogel, NP
• Bobby Jack Wade III, LCSW, MSW
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1141)
• Wal-Mart Stores East, LP (Vision Center 30-1141)
• Walgreen Co (Walgreens #07174)

• Physical Therapy Assistant in Greenfield, IN
• Providers in Greenfield, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.