Bailey Jo Richardson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2171325 Issued in TX

Practice address

921 Shiloh Rd Ste C110
Tyler, TX 75703-1406

Phone

(903) 939-2800

NPI assigned

Jul 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1912633173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 KIRBY DR STE 1000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542534",
            "telephone_number": "713-383-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 SHILOH RD STE C110",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031406",
            "telephone_number": "903-939-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "BAILEY",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2171325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Dalanie Rice, PHARMD, BCGP
• Matthew Steven Rich, MSN, RN, AGCNS-BC
• Jonathan Richard, LPC
• Donald Anthony Richards, MD
• Joel D Richards, DO
• Christine Richardson
• Emily Richardson
• Joanna Richardson, LPC
• Mackenzie Richardson
• Shawnic Richardson

• Physical Therapy Assistant in Tyler, TX
• Providers in Tyler, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.