Mary Teresa Rider, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3478 Issued in TN

Practice address

2301 Glenbar Dr
Germantown, TN 38139-5417

Phone

(901) 309-1321

NPI assigned

Jul 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunshine Terrace Foundation, IncGroup PAC ID 2668415860, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Sunshine Terrace Foundation, Inc

  dba Sunshine Terrace Outpatient Therapy

  • Physical Therapist
  • Logan, UT
  • NPI 1306000856
  Medicare reassignment Care Compare group NPD
• Sunshine Terrace Foundation, Inc

  dba Sunshine Hospice

  • Community Based Hospice Care Agency
  • Logan, UT
  • NPI 1326336892
  NPD

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376741009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 GLENBAR DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381395417",
            "telephone_number": "901-309-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 GLENBAR DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381395417",
            "telephone_number": "901-309-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDER",
        "first_name": "MARY",
        "middle_name": "TERESA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "3478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elbert Greer Richardson, M.D.
• Shandreka Richardson
• Kelly Oconnor Richert
• Sylvia S Richey, MD
• Carson Rider
• Steven C Riser Jr., LPC-MHSP
• River City Dental PLLC (Dental Care of Germantown)
• Jessica Robbins, DNP
• Kimberly Robbins, SLP
• Samuel Gwin Robbins Jr., M.D.

• Physical Therapist in Germantown, TN
• Providers in Germantown, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.