Individual provider Active NPI

Jon Michael Richards, PT, DPT

  • Physical Therapist
  • Lubbock, TX
National Provider Identifier
1790453280
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1351971 Issued in TX
Practice address
5217 82ND St Unit 104
Lubbock, TX 79424-2800
Phone
(806) 687-4311
Fax
(806) 687-4313
NPI assigned
Aug 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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 1351971 TX Primary

Addresses

Primary practice location

5217 82ND St Unit 104
Lubbock, TX 79424-2800

Mailing address

5217 82ND St Unit 104
Lubbock, TX 79424-2800
Phone (806) 687-4311

Other practice location 1

410 Avenue G
Levelland, TX 79336-3719
Phone (806) 897-0540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210928003378 TX Practitioner - Physical Therapist in Private Practice 8123425436

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
21.69 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McCombs and Associates Physical Therapy, Inc. Physical Therapist CurrentSince Aug 18, 2021 Accepting new patients

Locations

410 Avenue G
Levelland, TX 79336
Phone (806) 897-0540

9107 Milwaukee Ave
Lubbock, TX 79424
Phone (806) 687-4311

5217 82nd St
Unit 104
Lubbock, TX 79424
Phone (806) 687-4311

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1790453280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5217 82ND ST UNIT 104",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242800",
            "telephone_number": "806-687-4311",
            "fax_number": "806-687-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 82ND ST UNIT 104",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242800",
            "telephone_number": "806-687-4311",
            "fax_number": "806-687-4313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Avenue G",
            "address_purpose": "LOCATION",
            "city": "Levelland",
            "state": "TX",
            "postal_code": "793363719",
            "country_code": "US",
            "telephone_number": "806-897-0540",
            "fax_number": "806-897-0542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "JON",
        "middle_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1351971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.