Individual provider Active NPI

William Joseph Rider, OTR/L

  • Pediatric Occupational Therapist
  • Williamsport, PA
National Provider Identifier
1407114226
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OC012125 Issued in PA
Practice address
625 W Edwin St
Williamsport, PA 17701-4909
Phone
(570) 326-0565
Fax
(570) 326-7582
NPI assigned
Apr 30, 2012
Last updated
May 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OC012125 PA Primary

Addresses

Primary practice location

625 W Edwin St
Williamsport, PA 17701-4909

Mailing address

625 W Edwin St
Williamsport, PA 17701-4909
Phone (570) 326-0565

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

LicenseStateTypeSpecialty
OC012125PAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lycoming County Crippled Children's Past Accepting new patients
Upmc Williamsport Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: william.j.rider@upmcdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1407114226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W EDWIN ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177014909",
            "telephone_number": "570-326-0565",
            "fax_number": "570-326-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W EDWIN ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177014909",
            "telephone_number": "570-326-0565",
            "fax_number": "570-326-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDER",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC012125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.