Active NPI
Brittany Grace Richardson, PT, DPT
- Physical Therapist
- Monticello, AR
National Provider Identifier
1992218697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4412
- Practice address
- 1200 Old Warren Rd
Monticello, AR 71655-9723 - Phone
- (870) 367-1548
- Fax
- (870) 367-1383
- NPI assigned
- Nov 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT4412 | AR | Primary |
Addresses
Primary practice location
1200 Old Warren Rd
Monticello, AR 71655-9723
Mailing address
1200 Old Warren Rd
Monticello, AR 71655-9723
Phone (870) 367-1548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
925 Country Club Pkwy
Synergy Care at Mira of Maumelle
Maumelle, AR 72113-7825
Phone (501) 387-7244
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4412 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Care Southeast, LLC | Physical Therapist | Current | Accepting new patients |
Locations
401 Southridge Pkwy
Heber Springs, AR 72543
Phone (501) 239-4685
127 W Broad St
Ste 850
Lake Charles, LA 70601
Phone (337) 310-8500
Organizations & group practices 1
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": "1510790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510790400000",
"number": "1992218697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 OLD WARREN RD",
"city": "MONTICELLO",
"state": "AR",
"postal_code": "716559723",
"telephone_number": "870-367-1548",
"fax_number": "870-367-1383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 OLD WARREN RD",
"city": "MONTICELLO",
"state": "AR",
"postal_code": "716559723",
"telephone_number": "870-367-1548",
"fax_number": "870-367-1383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "BRITTANY",
"middle_name": "GRACE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-16",
"last_updated": "2017-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT4412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.