Individual provider Active NPI

Kristen Kelli Richardson, P.T.

  • Physical Therapist
  • Billings, MT
National Provider Identifier
1760524730
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1786 Issued in MT
Practice address
801 14TH St W Ste B
Billings, MT 59102-5364
Phone
(406) 672-7844
Fax
(406) 248-8829
NPI assigned
Feb 13, 2007
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1786 MT Primary

Addresses

Primary practice location

801 14TH St W Ste B
Billings, MT 59102-5364

Mailing address

PO Box 23372
Billings, MT 59104-3372
Phone (406) 672-7844

Other identifiers 1

IdentifierTypeStateIssuer
000060203OtherMTBLUE CROSS & BLUE SHIELD

Other names 1

  • Kelli Richardson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602000841 MT Practitioner - Physical Therapist in Private Practice 5395727507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

801 14TH St W
Suite B
Billings, MT 59102-5364
Phone (406) 672-7844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1786MTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kelli Richardsons 406 Physical Therapy LLC Physical Therapist CurrentSince Sep 27, 2019 Accepting new patients

Locations

801 14th St W
Ste B
Billings, MT 59102
Phone (406) 672-7844

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1760524730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23372",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591043372",
            "telephone_number": "406-672-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 14TH ST W STE B",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591025364",
            "telephone_number": "406-672-7844",
            "fax_number": "406-248-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KRISTEN KELLI",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "000060203",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "RICHARDSON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.