Amy Leggett Ridgway, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4278 Issued in OK

Practice address

9210 S Western Ave
Suite 27
Oklahoma City, OK 73139-2734

Phone

(405) 692-6333

Fax

(405) 692-1513

NPI assigned

Oct 23, 2009

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 GA

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Esop Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Atlanta, GA
  • NPI 1164182333
  Medicare reassignment
• Esop Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Conyers, GA
  • NPI 1811319023

  Physical Therapist

  NPD
• Esop Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Morrow, GA
  • NPI 1780006825

  Physical Therapist

  NPD

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1679809792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 S WESTERN AVE",
            "address_2": "SUITE 27",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73139",
            "telephone_number": "405-692-6333",
            "fax_number": "405-692-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 S WESTERN AVE",
            "address_2": "SUITE 27",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392734",
            "telephone_number": "405-692-6333",
            "fax_number": "405-692-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGWAY",
        "first_name": "AMY",
        "middle_name": "LEGGETT",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latasha Rideaux, CPRSS
• Gabraella Ridenour
• Steven Rideout
• Vernon Tyrone Rider, P.T.
• Ridgway Investments, LLC
• Shylah Kay Ridgway, LCSW, LICSW
• Yesenya Gonzalez Ridgway, MD
• Angela D. Ridings, M.ED., LPC, LADC
• Brandi N Ridley
• Brittany Ridley

• Physical Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.