Active NPI
Carol J Ryder, OTR
- Occupational Therapist
- New York, NY
National Provider Identifier
1134485949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 003370-1
- Practice address
- 2121 5TH Ave
OT Room
New York, NY 10037-3702 - Phone
- (212) 690-5936
- Fax
- (212) 690-5939
- NPI assigned
- Apr 5, 2012
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 003370-1 | NY | Primary |
Addresses
Primary practice location
2121 5TH Ave
OT Room
New York, NY 10037-3702
Mailing address
2121 5TH Ave
OT Room
Ny, NY 10037-3702
Phone (212) 690-5936
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 |
|---|---|---|---|
| 003370-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333584000000",
"number": "1134485949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 5TH AVE",
"address_2": "OT ROOM",
"city": "NY",
"state": "NY",
"postal_code": "100373702",
"telephone_number": "212-690-5936",
"fax_number": "212-690-5939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 5TH AVE",
"address_2": "OT ROOM",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100373702",
"telephone_number": "212-690-5936",
"fax_number": "212-690-5939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYDER",
"first_name": "CAROL",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-05",
"last_updated": "2012-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "003370-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.