MEDICARE: RICHARDS PHYSICAL THERAPY

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	261QP2000X	Physical Therapy Clinic/Center	8281445-2401	UT

General Provider Information

NPI Number	:	1356858120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARDS PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	1955 W GROVE PKWY STE 201
Second Line	:
City	:	PLEASANT GROVE
State	:	UT
Zip	:	84062-6731
Country	:	US
Telephone Number	:	385-498-4582
Fax Number	:	385-350-3454

Provider Business Practice Location Address
First Line	:	1955 W GROVE PKWY STE 201
Second Line	:
City	:	PLEASANT GROVE
State	:	UT
Zip	:	84062-6731
Country	:	US
Telephone Number	:	385-498-4582
Fax Number	:	385-350-3454

Authorized Official
Title or Position	:	OWNER
Name	:	PHILIP RICHARDS
Credential	:	PT, DPT
Telephone Number	:	385-498-4582

Provider Enumeration Date	:	01/03/2018
Last Update Date	:	09/19/2025

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