Teddy R Rudder, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

KYR2585 Issued in KY

Practice address

571 Parkway Dr
Salyersville, KY 41465-9248

Phone

(606) 349-6182

Fax

(606) 349-5962

NPI assigned

Jun 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700083227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1351",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412405351",
            "telephone_number": "606-309-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 PARKWAY DR",
            "city": "SALYERSVILLE",
            "state": "KY",
            "postal_code": "414659248",
            "telephone_number": "606-349-6182",
            "fax_number": "606-349-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDER",
        "first_name": "TEDDY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "KYR2585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Predmore, APRN, PMHNP-BC
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• Jeffery L. Ramey, MHA
• Beth Ann Ratliff, DMD
• James Edwin Ratliff II, DMD
• Jamie Russell
• Lacy D. Russell, APRN
• Carlee Jlynn Salisbury, APRN, FNP-C
• Salyer Elementary School
• Salyersville Grade School

• Occupational Therapist in Salyersville, KY
• Providers in Salyersville, KY by specialty
• Occupational Therapist in Kentucky

• 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.