Active NPI
Sarah Rider Rider, LMT
- Massage Therapist
- Port Royal, SC
National Provider Identifier
1104575026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10952
- Practice address
- 1613 Paris Ave Unit 216
Port Royal, SC 29935-2050 - Phone
- (843) 441-0073
- NPI assigned
- Mar 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 10952 | SC | Primary |
Addresses
Primary practice location
1613 Paris Ave Unit 216
Port Royal, SC 29935-2050
Mailing address
7 Abbey LN
Beaufort, SC 29902-6324
Phone (843) 441-0073
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10952 | SC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1104575026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 ABBEY LN",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299026324",
"telephone_number": "843-441-0073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 PARIS AVE UNIT 216",
"city": "PORT ROYAL",
"state": "SC",
"postal_code": "299352050",
"telephone_number": "843-441-0073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDER",
"first_name": "SARAH",
"middle_name": "RIDER",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-18",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "10952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Royal, SC
- Ashley Pierce, MS, OTR/L
- Kalysta T Pioggia, APRN-CNP
- Faith Lawrence Polkey, M.D., M.P.H.
- Progressive Physical Therapy, PA (Progressive Physical Therapy Beaufort)
- Radiation Oncology of Savannah, P.C.
- Tiffany Williams Rossi
- Rachel Marian Sanchez, PT, BS
- Vandit Sardana, M.SC., MD, FRCSC
- Lika J Schrock, PA
- Sea Island Cancer Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.