NPIMap

Joy A Richardson, PTA

Individual provider Active NPI Physical Therapy Assistant · Youngtown, AZ

NPI 1801020748 · NPPES record last updated May 6, 2009

Key facts

NPI
1801020748
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
0088A (AZ)
Practice address
12600 N 113TH Ave BLDG a
Youngtown, AZ 85363-1162
Phone
(623) 972-4033
Fax
(623) 972-4284
NPI assigned
May 6, 2009
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0088AAZMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Partners LLC Past
since Jun 1, 2013		 Accepting new patients
Pediatric Partners, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0088A AZ Yes

Addresses

Primary practice location

12600 N 113TH Ave BLDG a
Youngtown, AZ 85363-1162

Mailing address

PO Box 3457
Carefree, AZ 85377-3457
Phone (480) 595-2184

Other providers in Youngtown, AZ

All providers in Youngtown, AZ · Physical Therapy Assistant in Arizona

Sources for this page

Verify at the official NPI Registry.