Provider Demographics
NPI:1053744565
Name:JONES, RICHARD BRYANT (OTR)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:BRYANT
Last Name:JONES
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9200 WORLD CUP WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4950
Mailing Address - Country:US
Mailing Address - Phone:972-712-2669
Mailing Address - Fax:
Practice Address - Street 1:9200 WORLD CUP WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4950
Practice Address - Country:US
Practice Address - Phone:972-712-2669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113773225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist