Kiara Paige Richardson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306606119 Issued in VA

Practice address

1721 N King St
Hampton, VA 23669-1909

Phone

(757) 722-0309

NPI assigned

Jun 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kiara Paige Lueking Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hampton Physical Therapy Group LLC

  • Physical Therapist
  • Yorktown, VA
  • NPI 1124656038
  NPD

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1891425583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8217 OCONNOR CRES",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235032714",
            "telephone_number": "618-231-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 N KING ST",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236691909",
            "telephone_number": "757-722-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KIARA",
        "middle_name": "PAIGE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160008647",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306606119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIARA",
            "last_name": "LUEKING",
            "middle_name": "PAIGE",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Larrell Rhoiney, D.O.
• Mary E Rice, RPH
• Christina Rich
• Zora Rich, PHARMD
• Arlene Dianthe Richards Lee, PA-C
• Lindsay Richardson
• Linnea Richardson, OT
• Maya Shenea Richardson, LPC
• Tracey Anne Richie, RPH
• Richlife Behavior Consulting

• Physical Therapy Assistant in Hampton, VA
• Providers in Hampton, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.