{
"Npi": {
"NPI": "1356858120",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "RICHARDS PHYSICAL THERAPY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1955 W GROVE PKWY STE 201",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PLEASANT GROVE",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84062-6731",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "385-498-4582",
"MailingAddressFaxNumber": "385-350-3454",
"FirstLinePracticeLocationAddress": "1955 W GROVE PKWY STE 201",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PLEASANT GROVE",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84062-6731",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "385-498-4582",
"PracticeLocationAddressFaxNumber": "385-350-3454",
"EnumerationDate": "01/03/2018",
"LastUpdateDate": "09/19/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RICHARDS",
"AuthorizedOfficialFirstName": "PHILIP",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PT, DPT",
"AuthorizedOfficialTelephoneNumber": "385-498-4582",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "8281445-2401",
"LicenseNumberStateCode": "UT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}