Renee Beth Rideout, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

004459-1 Issued in NY

Practice address

4 Cartwright Ave
Sidney, NY 13838-1206

Phone

(607) 563-2929

NPI assigned

Nov 3, 2021

Last updated

Nov 3, 2021By 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

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.

• Seco Physical & Occupational Therapy PLLC

  • Specialist
  • Sidney, NY
  • NPI 1992784797
  NPD
• Seco Occupational Therapy PC

  • Occupational Therapist
  • Norwich, NY
  • NPI 1548220478
  NPD (past)

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1609531698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CARTWRIGHT AVE",
            "city": "SIDNEY",
            "state": "NY",
            "postal_code": "138381206",
            "telephone_number": "607-563-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CARTWRIGHT AVE",
            "city": "SIDNEY",
            "state": "NY",
            "postal_code": "138381206",
            "telephone_number": "607-563-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDEOUT",
        "first_name": "RENEE",
        "middle_name": "BETH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "004459-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Palmatier, RPH
• Julia Marie Parsons, DNP, FNP
• Khalid Parwez, MD
• Miranda Korrin Peck, LPN
• Meaghan Leigh Provost, NP
• Jennifer Jill Rivers, RN
• Amber Robertson, LMSW
• Rocky Mountain Holdings, LLC (LifeNet of New York)
• Nicole Rose, RN
• Jennifer Ross, PTA

• Physical Medicine & Rehabilitation Physician in Sidney, NY
• Providers in Sidney, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.