MEDICARE: DR. CHRISTOPHER JASON 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	6126	TN
2	2251E1200X	Ergonomics Physical Therapist	6126	TN
3	2251S0007X	Sports Physical Therapist	6126	TN
4	2251X0800X	Orthopedic Physical Therapist	6126	TN

General Provider Information

NPI Number	:	1831158112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER JASON RICHARDSON PT

Provider Business Mailing Address
First Line	:	1420 FALLEN BEETREE RD
Second Line	:
City	:	KINGSTON SPRINGS
State	:	TN
Zip	:	37082-5158
Country	:	US
Telephone Number	:	615-952-5751
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 25TH AVE N
Second Line	:	SUITE 520
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1606
Country	:	US
Telephone Number	:	615-321-3215
Fax Number	:	615-321-3216

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	09/11/2025

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