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

Nathan A Richardson, PTA

Individual provider Physical Therapy Assistant · NPI 1457019986

Nathan A Richardson, PTA is a Physical Therapy Assistant in Glen Carbon, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

400 S Station Rd
Glen Carbon, IL 62034-2743
Phone: (618) 288-5014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.008987 (IL)

Record details

NPI number1457019986
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedDecember 1, 2021
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021
Mailing address409 W Wall St, Mulberry Grove, IL 62262-1017

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