Active NPI
Scott T Richards, MPT
- Physical Therapist
- Brainerd, MN
National Provider Identifier
1902904485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5543
- Practice address
- 224 N 5TH St
Brainerd, MN 56401-3348 - Phone
- (218) 829-4231
- Fax
- (218) 825-3855
- NPI assigned
- Sep 20, 2006
- 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 Therapist | 225100000X | 5543 | MN | Primary |
Addresses
Primary practice location
224 N 5TH St
Brainerd, MN 56401-3348
Mailing address
PO Box 861
Grand Rapids, MN 55744-0861
Phone (218) 829-4231
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5543 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainbow of Health Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Rainbow Therapeutics, Inc. | Past | Accepting new patients |
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.
-
- Physical Therapist
- Brainerd, MN
- NPI 1477650331
-
- Massage Therapist
- Brainerd, MN
- NPI 1881889061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902904485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 861",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557440861",
"telephone_number": "218-829-4231",
"fax_number": "218-825-3855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 N 5TH ST",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564013348",
"telephone_number": "218-829-4231",
"fax_number": "218-825-3855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "SCOTT",
"middle_name": "T",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "5543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brainerd, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.