Individual provider Active NPI

Debora D. Ridener, OTR/L, MOT

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1013238617
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
113705 Issued in TX
Practice address
4711 Sid Katz Dr
San Antonio, TX 78229-3370
Phone
(210) 397-2538
Fax
(210) 397-2407
NPI assigned
Jun 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 113705 TX Primary

Addresses

Primary practice location

4711 Sid Katz Dr
San Antonio, TX 78229-3370

Mailing address

PO Box 781232
San Antonio, TX 78278-1232
Phone (210) 857-8435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
113705TXMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1013238617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781232",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782781232",
            "telephone_number": "210-857-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 SID KATZ DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293370",
            "telephone_number": "210-397-2538",
            "fax_number": "210-397-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDENER",
        "first_name": "DEBORA",
        "middle_name": "D.",
        "credential": "OTR/L, MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.