Jessica Richard, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA25955 Issued in FL

Practice address

330 Avenue C SE
Winter Haven, FL 33880-3243

Phone

(863) 268-2903

NPI assigned

Aug 18, 2022

Last updated

Aug 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

• Language & Literacy Academy for Learning, Inc

  • Local Education Agency (LEA)
  • Winter Haven, FL
  • NPI 1023512738

  Physical Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1982322566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 KEYSTONE PT",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338232360",
            "telephone_number": "863-398-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 AVENUE C SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803243",
            "telephone_number": "863-268-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA25955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Odracir Reyes, DMD
• Angie R. Reynolds, LMT.
• Daniel Glenn Reynolds, PTA
• Shalay S Rhoden
• Claire Rice, LCSW
• Douglas E. Richards, RPH
• Jondarius Lamar Richardson, LPN
• Nacresha Nicole Richardson, APRN
• Kimberlee Cheyann Richardsone
• Melanie Richter, OTR

• Physical Therapy Assistant in Winter Haven, FL
• Providers in Winter Haven, 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 Aug 18, 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.