Provider Demographics
NPI:1033766068
Name:RICHMOND, DARRYL E JR (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:DARRYL
Middle Name:E
Last Name:RICHMOND
Suffix:JR
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 N COLLINS RD STE 2214
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-9509
Mailing Address - Country:US
Mailing Address - Phone:469-967-1278
Mailing Address - Fax:833-901-2914
Practice Address - Street 1:129 N COLLINS RD STE 2214
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-9509
Practice Address - Country:US
Practice Address - Phone:469-967-1278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-23
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305213032225100000X
TX1324585225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1324585OtherPHYSICAL THERAPY EXAMINERS