Provider Type Icon

DR. KENNETH J RICHTER DO NPI 1033159132


NPI Information

NPI: 1033159132
Provider Name: DR. KENNETH J RICHTER, DO
Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
34505 WEST 12 MILE RD SUITE 100
FARMINGTON HILLS, MI
ZIP 48331
Phone: (734) 343-7500
Get Directions

DR. Kenneth J Richter, DO is a neuromusculoskeletal medicine sports medicine in Farmington Hills, MI. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ DR. Kenneth J Richter, DO NPI is 1033159132. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

34505 WEST 12 MILE RD SUITE 100
FARMINGTON HILLS, MI
ZIP 48331
Phone: (734) 343-7500
Fax: (312) 957-9991

The NPI 1033159132 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 7/3/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208100000XPhysical Medicine & Rehabilitation5101007564MICHIGANNo
22081P0004XPhysical Medicine & RehabilitationSpinal Cord Injury Medicine5101007564MICHIGANNo
32081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine5101007564MICHIGANNo
42081P2900XPhysical Medicine & RehabilitationPain Medicine5101007564MICHIGANNo
52081S0010XPhysical Medicine & RehabilitationSports Medicine5101007564MICHIGANNo
6208VP0000XPain MedicinePain Medicine5101007564MICHIGANNo
7208VP0014XPain MedicineInterventional Pain Medicine5101007564MICHIGANNo
8204C00000XNeuromusculoskeletal Medicine, Sports Medicine5101007564MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12905041 TYPE 11MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.