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

William Derek Richardson

Individual provider Physical Therapist · NPI 1487763058

William Derek Richardson is a Physical Therapist in Private Practice in Las Vegas, Nevada. Qualified in 1997, 29 years ago. Practices with Dignity Select Nevada LLC, a 109-clinician group and accepts Medicare assignment.

Years since qualifying
29
In the registry since
2006
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Practice location Address checks out

821 N Nellis Blvd Ste 130
Las Vegas, NV 89110-5387
Phone: (702) 452-4563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1487763058
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Dignity Select Nevada Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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