Brandon Richardson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019689 Issued in MI

Practice address

2080 44TH St SE Ste 150
Grand Rapids, MI 49508-5299

Phone

(616) 233-3590

NPI assigned

Nov 17, 2020

Sex

Male

Sole proprietor

No

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advent Rehabilitation, LLCGroup PAC ID 9537070545, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Advent Rehabilitation, LLC

  dba Advent Physical Therapy

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1780639658
  Medicare reassignment Care Compare group NPD
• Alliance Physical Therapy Group LLC

  dba Armor Physical Therapy

  • Physical Therapist
  • Holland, MI
  • NPI 1649216144
  Medicare reassignment NPD
• Advent Rehabilitation, LLC

  dba Advent Physical Therapy

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1437923729
  NPD

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1932702651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 DEWEY AVE NW STE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045283",
            "telephone_number": "616-356-5000",
            "fax_number": "616-356-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 44TH ST SE STE 150",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495085299",
            "telephone_number": "616-233-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "BRANDON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Marie Richards
• Katelyn Mary-Eileen Richards
• Kelli Richards, RN
• Lauren Richards, D.C.
• Roxanne L Richards, MD
• Cameron Richardson, D.O.
• Clyde A Richardson, M DIV CAC-R
• Jonea Monique Richardson
• Karyssa Richardson, MD
• Lesli Ann Richardson, M ED., MA, LLPC

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.