Molly Richardson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

25411 Issued in FL

Practice address

2765 S Bay St
Eustis, FL 32726-6501

Phone

(352) 589-5595

NPI assigned

Oct 24, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Physio Med Inc

  • Rehabilitation Clinic/Center
  • Eustis, FL
  • NPI 1720096720
  NPD

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1982321691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 S BAY ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266501",
            "telephone_number": "352-589-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 S BAY ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266501",
            "telephone_number": "352-589-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "25411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regency Park Assisted Living Ops LLC
• John R. Renick, PHARM. D.
• Revamp Chiropractic
• Lisa Ann Rex
• Haydee M Reyes, RBT-24-329407
• Right on Time Homecare
• Right on Time Homecare
• Jacqueline Rincon
• Ada L Rivera Cruz, MD
• Tofoya Robinson

• Physical Therapy Assistant in Eustis, FL
• Providers in Eustis, FL by specialty
• Physical Therapy Assistant in Florida

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