Healthcare Provider Details

I. General information

NPI: 1366608762
Provider Name (Legal Business Name): FREDERICK H. RICHARDSON DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2008
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1545 US HIGHWAY 206 STE 100
BEDMINSTER NJ
07921-2560
US

IV. Provider business mailing address

1545 US HIGHWAY 206 STE 100
BEDMINSTER NJ
07921-2560
US

V. Phone/Fax

Practice location:
  • Phone: 908-722-9000
  • Fax: 908-722-9001
Mailing address:
  • Phone: 908-722-9000
  • Fax: 908-722-9001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number40QA01213300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: