Individual provider Active NPI

Abby Neck Richardson, DPT

  • Physical Therapist
  • Sunset Valley, TX
National Provider Identifier
1972143543
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1400171 Issued in TX
Practice address
5601 Brodie LN Ste 640
Sunset Valley, TX 78745-2551
Phone
(512) 580-3055
Fax
(512) 580-3056
NPI assigned
Jan 13, 2020
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 1400171 TX Primary

Addresses

Primary practice location

5601 Brodie LN Ste 640
Sunset Valley, TX 78745-2551

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 777-6236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200309000772 MS Practitioner - Physical Therapist in Private Practice 8527496488 Reassigns benefits to 1 organization
I20241210004557 TX Practitioner - Physical Therapist in Private Practice 8527496488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

5601 Brodie LN
Suite 640
Sunset Valley, TX 78745-2551
Phone (512) 580-3055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Feb 3, 2020 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Feb 3, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

8110 Camp Creek Rd
Ste 106
Olive Branch, MS 38654
Phone (662) 893-1933

3451 Goodman Rd E
Ste 108
Southaven, MS 38672
Phone (662) 253-9060

800 Crescent Centre Dr
Ste 300
Franklin, TN 37067

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

5601 Brodie Ln
Sunset Valley, TX 78745
Phone (512) 580-3055

5601 Brodie Ln
Ste 640
Sunset Valley, TX 78745
Phone (512) 580-3055

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1972143543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-777-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 BRODIE LN STE 640",
            "city": "SUNSET VALLEY",
            "state": "TX",
            "postal_code": "787452551",
            "telephone_number": "512-580-3055",
            "fax_number": "512-580-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ABBY",
        "middle_name": "NECK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1400171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunset Valley, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.