Active NPI
Richard Cole
- Physical Therapy Assistant
- Dallas, TX
National Provider Identifier
1841645116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3375
- Practice address
- 884 Cypress Waters Blvd
Suite 300
Dallas, TX 75019 - Phone
- (800) 929-2304
- NPI assigned
- Apr 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 3375 | SC | Primary |
Addresses
Primary practice location
884 Cypress Waters Blvd
Suite 300
Dallas, TX 75019
Mailing address
105 Sarmiento LN
Summerville, SC 29483-8441
Phone (843) 709-3625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3375 | SC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461542400000",
"number": "1841645116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 SARMIENTO LN",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294838441",
"telephone_number": "843-709-3625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "884 CYPRESS WATERS BLVD",
"address_2": "SUITE 300",
"city": "DALLAS",
"state": "TX",
"postal_code": "75019",
"telephone_number": "800-929-2304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "RICHARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-25",
"last_updated": "2016-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "3375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.