Jeffrey D Richardson, PT is a
Physical Therapist based in San Carlos, Arizona. Jeffrey D Richardson is licensed to practice in Arizona (license number 5040 PT) and his current practice location is
223 Cibeque Circle Road, San Carlos, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 475-7219.
NPI number for Jeffrey D Richardson is 1356453278 and his current mailing address is Po Box 208, San Carlos, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356453278.
Healthcare Provider's Profile
| Full Name | Jeffrey D Richardson |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 223 Cibeque Circle Road, San Carlos, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356453278
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Jeffrey D Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356453278 | NPI | - | NPPES |
| 482729 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 5040 PT (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeffrey D Richardson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jeffrey D Richardson, PT Po Box 208, San Carlos, AZ 85550-0208 Ph: (928) 475-7219 | Jeffrey D Richardson, PT 223 Cibeque Circle Road, San Carlos, AZ 85550-0208 Ph: (928) 475-7219 |
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