Individual provider Active NPI

Lesley Denise Richardt, R.P.T.A.

  • Physical Therapy Assistant
  • Sand Springs, OK
National Provider Identifier
1992915821
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
946 Issued in OK
Practice address
5418 Redbud Dr
Sand Springs, OK 74063-3265
Phone
(918) 520-2756
Fax
(918) 419-2086
NPI assigned
May 22, 2007
Sex
Female
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 Therapy Assistant 225200000X 946 OK Primary

Addresses

Primary practice location

5418 Redbud Dr
Sand Springs, OK 74063-3265

Mailing address

5418 Redbud Dr
Sand Springs, OK 74063-3265
Phone (918) 520-2756

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
946OKMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992915821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5418 REDBUD DR",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740633265",
            "telephone_number": "918-520-2756",
            "fax_number": "918-419-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5418 REDBUD DR",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740633265",
            "telephone_number": "918-520-2756",
            "fax_number": "918-419-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDT",
        "first_name": "LESLEY",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "R.P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sand Springs, OK

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.