Loribeth Ridenour Martin, MS. L-PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

WVPTA002672 Issued in WV

Practice address

400 Clocktower Ridge Dr
Winchester, VA 22603-3878

Phone

(540) 431-2800

NPI assigned

Oct 1, 2020

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

Other names 1

• Loribeth Ridenour Dominique Former name

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": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1629675871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 STOUFFER AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406613",
            "telephone_number": "301-739-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CLOCKTOWER RIDGE DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226033878",
            "telephone_number": "540-431-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LORIBETH",
        "middle_name": "RIDENOUR",
        "credential": "MS. L-PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WV",
            "license": "WVPTA002672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORIBETH",
            "last_name": "DOMINIQUE",
            "middle_name": "RIDENOUR",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen Hudnall Martenson, MD
• Geoffrey A Martin, MD
• Kaitlin Hunter Reynolds Martin
• Kathy Martin
• Lauren Elizabeth Martin, PA-C
• Laura Lee Raynor Martinez, MD
• Mauricio A Martinez, MD
• Martinsburg Vamc
• Nicole Martz
• Erica Lacey Marut, LPC

• Physical Therapy Assistant in Winchester, VA
• Providers in Winchester, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.