MARY RICHARDSON CCC-SLP
NPI 1659092823
Speech-Language Pathologist in Tequesta, FL
About Mary Richardson Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY RICHARDSON CCC-SLP (NPI 1659092823) is an individual speech-language pathologist provider in Tequesta, Florida, licensed in Florida (SZ10888) and active in the NPI registry since September 2022.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mary Richardson Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mary Richardson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jupiter, FL 33458
- Reassigned Medicare billing, Florida enrollment
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TEQUESTA, FL 33469
TEQUESTA, FL 33469
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 Mary Richardson's NPI number?
The NPI number for Mary Richardson is 1659092823. It was assigned to this individual provider in the NPPES registry on September 7, 2022.
Where is Mary Richardson located?
Mary Richardson practices at 400 N Us Highway 1, Tequesta, FL 33469. The listed phone number is (770) 668-4726.
What is Mary Richardson's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Mary Richardson enrolled in Medicare?
Yes. Mary Richardson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mary Richardson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Richardson reassigns Medicare benefits to Evolution Rehab Group LLC (Jupiter, FL). 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 Mary Richardson'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 Mary Richardson was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Mary Richardson, CCC-SLP · NPI 1659092823
Speech-Language Pathologist provider in Tequesta, Florida. Individual provider, active in the CMS NPPES registry since September 7, 2022.
## Identity
- **NPI:** 1659092823 (Entity type: Individual)
- **Enumerated:** September 7, 2022
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** SZ10888 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 N US HIGHWAY 1, Tequesta, FL 33469-2200
- **Phone:** (770) 668-4726
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Evolution Rehab Group LLC (NPI 1023840246, Jupiter, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1659092823) · Data from the CMS NPPES public registry.