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

Trista Jency Mykins Richardson, PT

Individual provider Physical Therapist · NPI 1578369823

Trista Jency Mykins Richardson, PT is a Physical Therapist in Private Practice in Statesville, North Carolina. Qualified in 2024, 2 years ago. Practices with Benchmark Physical Therapy of North Carolina, LLC, a 240-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

130 Venture Ln
Statesville, NC 28625-2740
Phone: (980) 223-8790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P23903 (NC)

Record details

NPI number1578369823
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 19, 2025
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Benchmark Physical Therapy Of North Carolina, Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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