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

Traci L Richardson, DPT

Individual provider Physical Therapist · NPI 1972504769

Traci L Richardson, DPT is a Physical Therapist in Private Practice in Boalsburg, Pennsylvania. Qualified in 2003, 23 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
23
Licensed in
PA
In the registry since
2005
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

1146 Karen St
Boalsburg, PA 16827-1642
Phone: (814) 441-9183
Fax: (833) 277-6195
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT016580 (PA)

Record details

NPI number1972504769
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 3, 2005
Last updated in NPPESDecember 30, 2022
Certification dateJanuary 10, 2021
Mailing addressPo Box 218, Boalsburg, PA 16827-0218

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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