Rachel Susanne Anderson-Ridenour, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2305215134 Issued in VA

Practice address

1760 Old Meadow Rd Ste 200
MC Lean, VA 22102-4330

Phone

(703) 988-4664

NPI assigned

Jul 28, 2022

Last updated

Jul 28, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Kinetics Physical Therapy

  • Physical Therapy Clinic/Center
  • Falls Church, VA
  • NPI 1346631116
  NPD (past)

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1356077689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6180 OTTER RUN CT",
            "city": "CLIFTON",
            "state": "VA",
            "postal_code": "201242337",
            "telephone_number": "703-598-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 OLD MEADOW RD STE 200",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024330",
            "telephone_number": "703-988-4664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 W Annandale Rd # 202",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220464226",
            "country_code": "US",
            "telephone_number": "703-988-4664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON-RIDENOUR",
        "first_name": "RACHEL",
        "middle_name": "SUSANNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305215134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara A Amor
• Christine Fay Amorosi, NURSE PRACTITIONER
• Nour El Houda Amri, CNS
• David Insoo An, M.D.
• Matthew Anastasia, PT, DPT
• Ashley Nicole Anderson, RBT
• Erica Dawn Anderson, MD
• Jacqueline Anderson, LPC
• Kristen Anderson, LPC
• Michael Harold Anderson, M.D.

• Orthopedic Physical Therapist in McLean, VA
• Providers in McLean, VA by specialty
• Orthopedic Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.