Pamela J. Riedeman, LPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005439 Issued in OH

Practice address

815 E Lutz Rd
Archbold, OH 43502-3211

Phone

(419) 446-9144

Fax

(419) 446-9146

NPI assigned

Apr 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Delta Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Delta, OH
  • NPI 1538381819
  NPD (past)
• Holistic Pain Management of Wyoming, LLC

  • Family Nurse Practitioner
  • Riverton, WY
  • NPI 1487295846
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1164545851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 E LUTZ RD",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "435023211",
            "telephone_number": "419-446-9144",
            "fax_number": "419-446-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E LUTZ RD",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "435023211",
            "telephone_number": "419-446-9144",
            "fax_number": "419-446-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDEMAN",
        "first_name": "PAMELA",
        "middle_name": "J.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "005439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Restivo, MA, CCC-SP
• Paula Lynn Rettig, LPC LCDCII
• Deyanira Reyes
• John Martin Riedeman, P.T.A.
• Michelle Riedeman, L.P.T.A.
• Rite Aid of Ohio Inc
• Stefanie A Rockey, MSW, LISW
• Samuel Rodriguez
• S Darlene Rohrer-Meck, MSW, LISW
• Mary Rose, PT

• Physical Therapist in Archbold, OH
• Providers in Archbold, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.