Mimi Kristina Marina Rider, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1405007 Issued in TX

Practice address

8608 Preston Rd Ste 110
Plano, TX 75024-3317

Phone

(214) 432-5862

Fax

(214) 431-4305

NPI assigned

Feb 4, 2025

Last updated

Feb 12, 2025By the provider in NPPES

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

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coppell Spine and Sports Rehab Limited PartnershipGroup PAC ID 1850200551, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Coppell Spine & Sports Rehab Limited Partnership

  dba Therapy Partners of North Texas

  • Physical Therapist
  • Fort Worth, TX
  • NPI 1720276652
  Medicare reassignment Care Compare group NPD
• Coppell Spine & Sports Rehab Limited Partnership

  • Physical Therapist
  • Plano, TX
  • NPI 1407722861
  NPD
• Coppell Spine & Sports Rehab Limited Partnership

  dba Therapy Partners of North Texas

  • Physical Therapist
  • Plano, TX
  • NPI 1427802321
  NPD

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1174337687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2650",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750198607",
            "telephone_number": "972-724-2400",
            "fax_number": "972-724-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8608 PRESTON RD STE 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243317",
            "telephone_number": "214-432-5862",
            "fax_number": "214-431-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDER",
        "first_name": "MIMI",
        "middle_name": "KRISTINA MARINA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1405007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Richter, SLP
• Tess Tarrillion Richter, MS, CCC-SLP
• Rick Barfield, D.D.S. and Associates
• Michelle Ann Rickoff, M.A.,CCC/SLP
• Halana Rideau, MSN, RN, FNP-C
• Ridge Medical Products, LLC
• Ridgeview Investments, LLC (Home Care Assistance of Plano)
• Stephanie Riebling
• Christopher Joseph Riegel, M.D.
• Anthony Richard Riela, M.D.

• Physical Therapist in Plano, TX
• Providers in Plano, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.