Individual provider Active NPI

Ronald Thomas Richardson, PT, ATC

  • Physical Therapist
  • Hoover, AL
National Provider Identifier
1972617389
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH261 Issued in AL
Practice address
3421 S Shades Crest Rd
Ste 107
Hoover, AL 35244-3551
Phone
(205) 987-6501
Fax
(205) 987-6503
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 PTH261 AL Primary

Addresses

Primary practice location

3421 S Shades Crest Rd
Ste 107
Hoover, AL 35244-3551

Mailing address

725 Oakline Cir
Hoover, AL 35226-4110
Phone (205) 515-0354

Other identifiers 2

IdentifierTypeStateIssuer
51537259OtherALBLUE CROSS BLUE SHIELD AL
5224640OtherALAETNA

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

LicenseStateTypeSpecialty
PTH261ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South LLC Fultondale Physical Therapist Past Accepting new patients
Godspeed Esa Hoover Inc. Physical Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972617389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 OAKLINE CIR",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352264110",
            "telephone_number": "205-515-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 S SHADES CREST RD",
            "address_2": "STE 107",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443551",
            "telephone_number": "205-987-6501",
            "fax_number": "205-987-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "RONALD",
        "middle_name": "THOMAS",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "51537259",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5224640",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

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.

Verify at the official NPI Registry.