NATHAN A RICHARDSON (PTA) – Physical Therapy Assistant, NPI 1457019986

NATHAN A RICHARDSON (PTA) is a healthcare provider. based in Mulberry grove, Illinois. specializing in Physical Therapy Assistant. They hold the professional credentials PTA. They hold a License No. 160.008987 (IL). The NPI Number for NATHAN A RICHARDSON (PTA) is 1457019986

Main info

Male
Sole Proprietor
Name
NATHAN A RICHARDSON (PTA)
NPI
1457019986
Phone
(618) 339-3823
Address
409 W WALL ST
Enumeration Date
1 December 2021
Last Update Date
1 December 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

Provider Addresses for NATHAN A RICHARDSON (PTA)

  • 409 W WALL ST

    MULBERRY GROVE, IL 622621017

    Phone: (618) 339-3823

    Type: Mailing

  • 400 S STATION RD

    GLEN CARBON, IL 620342743

    Phone: (618) 288-5014

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62262)

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Frequently asked questions

What unique ID ties claims to NATHAN A RICHARDSON (PTA)?
NPI 1457019986 is assigned to NATHAN A RICHARDSON (PTA) under the national enumeration system.
Is NATHAN A RICHARDSON (PTA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does NATHAN A RICHARDSON (PTA) treat or focus on?
Patients typically see NATHAN A RICHARDSON (PTA) under the specialty Physical Therapy Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place NATHAN A RICHARDSON (PTA)?
The snapshot lists Mulberry Grove, Illinois for NATHAN A RICHARDSON (PTA); download NPPES for the complete set.
Is NATHAN A RICHARDSON (PTA) a real provider?
This page reflects official NPPES data for NPI 1457019986. Always confirm identity and privileges with the practice and licensing boards.

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