Andrea Colette Ridout, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

115419 Issued in MO

Practice address

6000 Hospital Drive
Hannibal, MO 63401

Phone

(573) 406-0576

NPI assigned

Jan 11, 2007

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

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639229669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7531 COUNTY ROAD 426",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016634",
            "telephone_number": "573-248-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 HOSPITAL DRIVE",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "63401",
            "telephone_number": "573-406-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDOUT",
        "first_name": "ANDREA",
        "middle_name": "COLETTE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "115419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Remmert, D.O.
• Loren D. Reutenauer, COTA
• Melissa L Reynolds
• Buthaina Richeh, MD
• Joshua J. Ricker, DDS
• Riney-Walden Inc
• Riney-Walden, Inc.
• Riney-Walden, Inc.
• Erin Riney
• Riverside Dermatology & Spa LLC

• Physical Therapy Assistant in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Physical Therapy Assistant in Missouri

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.