MEDICARE: BRENDA ELAINE RICHARDSON PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT1362	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1194847988	OTHER	OK	GROUP NPI

General Provider Information

NPI Number	:	1033139274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA ELAINE RICHARDSON PT

Provider Business Mailing Address
First Line	:	3160 W BRITTON RD
Second Line	:	SUITE C
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-2039
Country	:	US
Telephone Number	:	405-751-9595
Fax Number	:	405-755-4045

Provider Business Practice Location Address
First Line	:	3160 W BRITTON RD
Second Line	:	SUITE C
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-2068
Country	:	US
Telephone Number	:	405-751-9595
Fax Number	:	405-755-4045

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	04/15/2010

Similar Medicare Providers

1205267390 — MR. NOLAND JONES
Practice Location Address:

11716 BEVENSHIRE RD
OKLAHOMA CITY, OK
73162-2068

Practice Phone: 405-314-2009
Practice Fax:

1972568624 — DR. KRISHNAN E PARAYATH MD
Practice Location Address:

5670 54TH AVE N , SUITE A-1
KENNETH CITY, FL
33709-2068

Practice Phone: 727-548-0260
Practice Fax: 727-548-0270

1447215199 — DR. ABEY SARAI MD, FACP
Practice Location Address:

5670 54TH AVE N , SUITE A-1
KENNETH CITY, FL
33709-2068

Practice Phone: 727-548-0260
Practice Fax: 727-548-0270

1518005891 — DR. ROOPA GANGA M.D.
Practice Location Address:

5670 54TH AVE N , SUITE A-1
KENNETH CITY, FL
33709-2068

Practice Phone: 727-548-0260
Practice Fax: 727-548-0270

1225206311 — ACCURATE HEARING CLINICS & AUDIOLOGY
Practice Location Address:

505 E 200 S STE 302
SALT LAKE CITY, UT
84102-2068

Practice Phone: 801-355-4327
Practice Fax: 801-355-4337

1710144811 — DR. LALIT KALRA M.D.
Practice Location Address:

5670 54TH AVE N , STE A1
KENNETH CITY, FL
33709-2068

Practice Phone: 727-548-0260
Practice Fax:

Directions to “ BRENDA ELAINE RICHARDSON PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.