MICHAEL BLAKE RICHARDSON (NPI# 1114474723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114474723 |
| Entity Type | Individual |
| Full Name | MICHAEL BLAKE RICHARDSON |
| Credential | PT |
| Practice Address |
2801 S. Olive Street Suite 9d Pine Bluff AR 71603-5495 |
| Practice Telephone | 8705410003 |
| Practice Fax Number | 8705410008 |
| Mailing Telephone | 8705410003 |
| Mailing Fax Number | 8705410008 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT4227 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003168493 | Michael Richardson | Pharmacist | 4209 San Pedro Dr Ne, 274, Albuquerque, NM 87109-2007 | 2012-10-09 |
| 1336408228 | Michael Scott Richardson | Occupational Therapist | 1124 Old Lynn Grove Rd, Murray, KY 42071-8112 | 2012-05-11 |
| 1154510196 | Michael David Richardson | Counselor | 12496 Old 79, New London, MO 63459-2741 | 2007-10-16 |
| 1508089061 | Michael Joseph Richardson | Psychiatry & Neurology | 16302 Falls Rd, Butler, MD 21023-0045 | 2007-04-11 |
| 1548279235 | Michael Richardson | Physical Therapist | 1111 Corporate Park Dr, Ste B, Forest, VA 24551-2286 | 2006-08-05 |
| 1124063110 | Michael Anthony Richardson | Pathology | 680 Miramonte Dr, Santa Barbara, CA 93109-1429 | 2006-06-17 |
| 1477594646 | Michael Dale Richardson | Military Health Care Provider | Hc-83 Bldg 3005, Naval Hospital Branch Clinic Mcmwtc, Bridgeport, CA 93517-0001 | 2006-06-09 |
| 1245855188 | Michael D Richardson | Occupational Therapist | 483 Clermont Ave, Brooklyn, NY 11238-2253 | 2020-06-16 |
| 1174151989 | Michael Richardson | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-03-28 |
| 1205473048 | Michael Richardson | Case Manager/Care Coordinator | 1150 Graham Rd Ste 102, Florissant, MO 63031-8077 | 2019-11-27 |
| Street Address |
2801 S. OLIVE STREET SUITE 9D |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71603-5495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
| 1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
| 1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
| 1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
| 1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
| 1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
| 1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
| 1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
| 1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
| 1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
| Find all providers in zip 71603 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265601892 | Ryan Arvin Vegafria Urbano | Physical Therapist | 1600 West 40th, Pine Bluff, AR 71603-6906 | 2008-02-28 |
| 1669681185 | Nikki Pepino Gordon | Physical Therapist | 6400 Trinity Drive, Pine Bluff, AR 71603-6340 | 2007-05-21 |
| 1235142258 | Tom G Baxley | Physical Therapist | 3071 W 28th Ave, Pine Bluff, AR 71603-4802 | 2006-08-14 |
| 1962413989 | Jenkins Memorial Center & Jenkins Industries, Inc. | Physical Therapist | 2410 Rike Dr, Pine Bluff, AR 71603-3935 | 2006-08-11 |
| 1881602936 | Regin John Reginio | Physical Therapist | 2502 W 28th Ave, Pine Bluff, AR 71603-5054 | 2006-08-04 |
| 1245293950 | Southeast Arkansas Physical Therapy, Inc. | Physical Therapist | 2801 S Olive St, Suite 9d, Pine Bluff, AR 71603-5439 | 2006-04-11 |
| 1861971509 | Cameron S Shannon | Physical Therapist | 2801 S Olive St Ste 9d, Pine Bluff, AR 71603-5495 | 2018-08-13 |
| 1821577941 | Ashton Delaine Scoggins | Physical Therapist | 2801 S Olive St Ste 9d, Pine Bluff, AR 71603-5495 | 2018-08-09 |
| 1114242740 | Amanda Mccarty Harris | Physical Therapist | 2801 S Olive St, Suite 9d, Pine Bluff, AR 71603-5433 | 2010-04-07 |
| 1669600664 | Mark J Yabut | Physical Therapist | 2915 S Hazel St, Pine Bluff, AR 71603-5008 | 2009-06-29 |
| Find all providers in PINE BLUFF | ||||
| City | PINE BLUFF |
| Zip Code | 71603 |
Please comment or provide details below to improve the information on MICHAEL BLAKE RICHARDSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.