Active NPI
Reed Gentry Richardson, PT, DPT
- Physical Therapist
- Fort Worth, TX
National Provider Identifier
1720719461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1360626
- Practice address
- 5632 Edwards Ranch Rd
Fort Worth, TX 76109-4148 - Phone
- (817) 269-0600
- NPI assigned
- Jun 22, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1360626 | TX | Primary |
Addresses
Primary practice location
5632 Edwards Ranch Rd
Fort Worth, TX 76109-4148
Mailing address
7020 Golden Gate Dr
Fort Worth, TX 76132-3744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 74.64 of 100
- Quality
- 46.1
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 76.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Rehab Center Inc | Physical Therapist | Current | Accepting new patients |
| Endeavor Rehab Center Inc | Physical Therapist | Current | Accepting new patients |
Locations
6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533
5632 Edwards Ranch Rd
Ste 110
Ft Worth, TX 76109
Phone (817) 259-0600
5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600
896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262
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 and National Provider Directory roles.
-
- Physical Therapist
- Athens, TX
- NPI 1548045156
-
- Physical Therapist
- Austin, TX
- NPI 1760506232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1720719461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7020 GOLDEN GATE DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5632 EDWARDS RANCH RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094148",
"telephone_number": "817-269-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "REED",
"middle_name": "GENTRY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-22",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1360626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.