Miranda Ridgway

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A5083 Issued in MD

Practice address

713 Rivanna Run
Falling Waters, WV 25419-4329

Phone

(814) 494-4714

NPI assigned

Sep 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1033724331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 RIVANNA RUN",
            "city": "FALLING WATERS",
            "state": "WV",
            "postal_code": "254194329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 RIVANNA RUN",
            "city": "FALLING WATERS",
            "state": "WV",
            "postal_code": "254194329",
            "telephone_number": "814-494-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGWAY",
        "first_name": "MIRANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A5083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "miranda.ridgway@amedisys.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Amedisys Maryland LLC",
            "address_1": "713 Rivanna Run",
            "city": "Falling Waters",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254194329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Raley
• Anthony William Reed
• Mikel William Reid
• Lindsay Rhodes
• Tina Marie Rickard
• Andrea Robinson
• Jamie Michele Schartman
• Charles Shantz
• Madison B Shepherd
• Angela Smith

• All providers in Falling Waters, WV
• Physical Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.