Jessica A Rider, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305204854 Issued in VA

Practice address

1421 3Rd St SW
Roanoke, VA 24016-5204

Phone

(540) 982-2208

Fax

(540) 982-7637

NPI assigned

Oct 23, 2006

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

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Therapy of Virginia IncGroup PAC ID 7214931211, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Advanced Physical Therapy of Virginia Inc

  • Physical Therapist
  • Salem, VA
  • NPI 1083623284
  Medicare reassignment Care Compare group NPD
• Rehabilitation Associates of Central Virginia Limited Partnership

  • Physical Therapist
  • Lynchburg, VA
  • NPI 1144770835
  NPD (past)
• Rehabilitation Associates of Central Virginia, Inc.

  • Physical Therapist
  • Lynchburg, VA
  • NPI 1699727016
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1659454718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 3RD ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240165204",
            "telephone_number": "540-982-2208",
            "fax_number": "540-982-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 3RD ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240165204",
            "telephone_number": "540-982-2208",
            "fax_number": "540-982-7637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Clifton St",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245011422",
            "country_code": "US",
            "telephone_number": "434-528-1848",
            "fax_number": "434-845-6748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDER",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richfield Living
• Richfield Living
• Jacqueline Virginia Rickmond, LCSW
• Rose Ricks
• Bailey Riddle
• Nicholas Rider, D.O.
• Ridge Injury & Neuro Rehab, LLC
• Lauren Ridgeway, OTR/L
• Nancy Lea Ridgley, RD,CDE
• Ricardo Riegodedios, MD

• Physical Therapist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.