Provider Demographics
NPI:1811927817
Name:RICHMAN, BRIAN IAN (MPT)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:IAN
Last Name:RICHMAN
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 VISTA CENTRE DR STE 8
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-2600
Mailing Address - Country:US
Mailing Address - Phone:434-385-4900
Mailing Address - Fax:434-385-7100
Practice Address - Street 1:110 VISTA CENTRE DR STE 8
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-2600
Practice Address - Country:US
Practice Address - Phone:434-385-4900
Practice Address - Fax:434-385-7100
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305006244225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist