Mary Ellen Rader, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

21992 Issued in FL

Practice address

5787 Summer Side LN
Sarasota, FL 34231-8367

Phone

(586) 610-2111

NPI assigned

Jan 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1508197187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5787 SUMMER SIDE LN",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342318367",
            "telephone_number": "586-610-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5787 SUMMER SIDE LN",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342318367",
            "telephone_number": "586-610-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADER",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "21992",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502000875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iman Raad
• Sy Rabins, DO
• Alejandro Racines, PA
• Ryan Michael Radakovich, D.O.
• Michael Hank Radell, DDS
• Mark Radetic, M.D.
• Radiant Diagnostic Imaging Inc
• Radiology & Imaging Specialists of Lakeland
• Radiology Associates of Florida Office
• Radiology Associates of Tampa, PA

• Physical Therapy Assistant in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.