Richard Kwaku Amponsah, EDD, DPT, PMP
Individual provider Active NPI Physical Therapy Assistant · Windsor Mill, MD
NPI 1831846351 · NPPES record last updated Jan 7, 2025
Key facts
- NPI
- 1831846351
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A5790 (MD)
- Practice address
- 2872 Scarborough Cir
Windsor Mill, MD 21244-8063 - Phone
- (757) 550-7186
- NPI assigned
- Mar 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113258-01 | NY | MD | Social Worker |
| A5790 | MD | MD | Physical Therapy Assistant |
| 2174554 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 113258-01 | NY | |
| Physical Therapy Assistant | 225200000X | 2174554 | TX | |
| Physical Therapy Assistant | 225200000X | 013631-01 | NY | |
| Physical Therapy Assistant | 225200000X | A5790 | MD | Yes |
Addresses
Primary practice location
2872 Scarborough Cir
Windsor Mill, MD 21244-8063
Mailing address
2872 Scarborough Cir
Windsor Mill, MD 21244-8063
Phone (757) 550-7186
Other providers in Windsor Mill, MD
- Amana Health & Resource Center
- Amazing Home Healthcare Inc
- American Diagnostics Services LLC
- American Diagnostics Services LLC
- American Pain Solutions Inc.of Maryland
- Hayden Thomas Anderson
- Jazmine Lenora Anderson
- Nora Chizoma Anoruo
- Mohsin Ansari
- Jeroen Antwi
All providers in Windsor Mill, MD · Physical Therapy Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.