Individual provider Active NPI

Bradley Carl Richie, DPT

  • Physical Therapist
  • Hanover, PA
National Provider Identifier
1972909901
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT024064 Issued in PA
Practice address
470 Eisenhower Dr
Hanover, PA 17331-5248
Phone
(717) 747-8350
Fax
(717) 718-3150
NPI assigned
Nov 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 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 PT024064 PA Primary

Addresses

Primary practice location

470 Eisenhower Dr
Hanover, PA 17331-5248

Mailing address

1500 Walnut St Ste 602
Philadelphia, PA 19102-3516
Phone (215) 967-3380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150220000773 PA Practitioner - Physical Therapist in Private Practice 7517282239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitality Physical Therapy and Fitness LLCGroup PAC ID 3072954346, 4 clinicians

Practice addresses (Care Compare)

1500 Walnut St
Suite 602
Philadelphia, PA 19102-3516
Phone (717) 350-4522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Nov 2, 2015 Accepting new patients
Vitality Physical Therapy & Fitness LLC Physical Therapist CurrentSince Apr 22, 2024 Accepting new patients

Locations

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

1500 Walnut St
Ste 602
Philadelphia, PA 19102
Phone (215) 967-3380

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": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1972909901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WALNUT ST STE 602",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023516",
            "telephone_number": "215-967-3380",
            "fax_number": "215-754-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 EISENHOWER DR",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173315248",
            "telephone_number": "717-747-8350",
            "fax_number": "717-718-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHIE",
        "first_name": "BRADLEY",
        "middle_name": "CARL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-19",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

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