Individual provider Active NPI

Christiana Faith Ryder, OTR/L

  • Occupational Therapist
  • Eagle River, AK
National Provider Identifier
1699155499
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
100091 Issued in AK
Practice address
12110 Business Blvd
Ste 6 PMB 413
Eagle River, AK 99577-7741
Phone
(907) 317-7784
NPI assigned
Jun 5, 2015
Last updated
Jun 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 100091 AK Primary

Addresses

Primary practice location

12110 Business Blvd
Ste 6 PMB 413
Eagle River, AK 99577-7741

Mailing address

12110 Business Blvd
Ste 6 PMB 413
Eagle River, AK 99577-7741
Phone (907) 317-7784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
100091AKMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1699155499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 BUSINESS BLVD",
            "address_2": "STE 6 PMB 413",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777741",
            "telephone_number": "907-317-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 BUSINESS BLVD",
            "address_2": "STE 6 PMB 413",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777741",
            "telephone_number": "907-317-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDER",
        "first_name": "CHRISTIANA",
        "middle_name": "FAITH",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "100091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.