Individual provider Active NPI

Karen Louise Richardson, PT

  • Physical Therapist
  • Crystal City, TX
National Provider Identifier
1912196122
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1010320 Issued in TX
Practice address
402 E Zavala St
Suite 1
Crystal City, TX 78839-3337
Phone
(830) 374-0537
Fax
(830) 374-0538
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1010320 TX Primary

Addresses

Primary practice location

402 E Zavala St
Suite 1
Crystal City, TX 78839-3337

Mailing address

5911 Pioneer Est
San Antonio, TX 78245-9602
Phone (830) 985-3060

Other identifiers 1

IdentifierTypeStateIssuer
8129B9OtherTXMEDICARE

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

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1912196122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 PIONEER EST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782459602",
            "telephone_number": "830-985-3060",
            "fax_number": "830-985-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E ZAVALA ST",
            "address_2": "SUITE 1",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788393337",
            "telephone_number": "830-374-0537",
            "fax_number": "830-374-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KAREN",
        "middle_name": "LOUISE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1010320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8129B9",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.