Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Devan Richardson, DPT

Individual provider Physical Therapist · NPI 1174165500

Devan Richardson, DPT is a Physical Therapist in Private Practice in Tupelo, Mississippi. Qualified in 2019, 7 years ago. Practices with Ford Physical Therapy PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

2633 Traceland Dr
Tupelo, MS 38801-4238
Phone: (662) 554-9699
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT6740 (MS)

Record details

NPI number1174165500
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 17, 2019
Last updated in NPPESOctober 17, 2019
Mailing address2633 Traceland Dr, Tupelo, MS 38801-4238

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ford Physical Therapy Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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