Dlisa Richards

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 22727 Issued in FL

Practice address

111 Grand Palms Dr
Pembroke Pines, FL 33027-1329

Phone

(305) 405-0400

NPI assigned

Aug 25, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1780964452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16249 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604300",
            "telephone_number": "305-405-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GRAND PALMS DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271329",
            "telephone_number": "305-405-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "DLISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 22727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887989300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spencer Rice, DO
• Jamil Michael Rich
• Richard L. Sherman, DDS.
• Eve Mary Carmelle Ellen Richard, LCSW
• Taschauna Antoinette Richards-Whyne
• Shannon Ginell Richards, APRN FNP-BC
• Laurie Richardson, ARNP
• Sander Richiez
• Percival George Ricketts, ED.D, LMHC
• Laura Elizabeth Rico, RN

• Physical Therapy Assistant in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.