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DOMINIQUE RICHARD
NPI 1386013290
Specialist/Technologist - Athletic Trainer in Zachary, LA

Active since September 21, 2015
3429 JERSEY DR, ZACHARY, LA 70791(225) 636-6367 Get Directions Write a Review

NPPES record last updated: September 21, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dominique Richard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE RICHARD (NPI 1386013290) is an individual athletic trainer provider in Zachary, Louisiana and active in the NPI registry since September 2015. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1386013290
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameDOMINIQUE RICHARD
Location Address3429 JERSEY DRZachary, LA 70791-4209
Mailing Address3429 Jersey DrZachary, LA 70791-4209
Phone(225) 636-6367
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 21, 2015
✔ NPI 1386013290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
3429 JERSEY DR, Zachary, LA 70791
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Richard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799152757
PECOS Enrollment IDI20221103001161

Medicare Billing Reassignment

Medicare enrollment records show Dominique Richard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fox Rehabilitation Ga, LLC
458 mi
Physical Therapist
1260 HIGHTOWER TRL
Atlanta, GA 30350
  • Reassigned Medicare billing, Georgia enrollment
  • 220 clinicians in this Medicare group
NPI 1023544624 (877) 407-3422

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,792 services83 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,066 services71 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
499 services52 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
288 services44 patients
Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
76 services30 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
30 services28 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Richard's NPI number?

The NPI number for Dominique Richard is 1386013290. It was assigned to this individual provider in the NPPES registry on September 21, 2015.

Where is Dominique Richard located?

Dominique Richard practices at 3429 Jersey Dr, Zachary, LA 70791. The listed phone number is (225) 636-6367.

What is Dominique Richard's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Is Dominique Richard enrolled in Medicare?

Yes. Dominique Richard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dominique Richard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Richard reassigns Medicare benefits to Fox Rehabilitation Ga, LLC (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dominique Richard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dominique Richard was last updated on September 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.