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

Holly Richmond, PA

Individual provider Physician Assistant · NPI 1205020963

Holly Richmond, PA is a Physician Assistant in Royal Oak, Michigan. Qualified in 2004, 22 years ago. Practices with Lmt Rehabilitation Associates PC, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Licensed in
MI
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3535 W 13 Mile Rd Ste 437
Royal Oak, MI 48073-6770
Phone: (248) 288-2210
Fax: (248) 589-9875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 44201 Dequindre Rd, Troy, MI 48085-1117 — (248) 964-4866

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601004383 (MI)

Record details

NPI number1205020963
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 5, 2007
Last updated in NPPESJuly 20, 2022
Certification dateJuly 23, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Lmt Rehabilitation Associates Pc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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