Active NPI
Amanda Marie Ridder, MOT, OTR/L
- Occupational Therapist
- Omaha, NE
National Provider Identifier
1730433780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1664
- Practice address
- 5061 S 160TH Cir
Omaha, NE 68135-1016 - Phone
- (402) 350-1828
- NPI assigned
- Oct 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1664 | NE | Primary |
Addresses
Primary practice location
5061 S 160TH Cir
Omaha, NE 68135-1016
Mailing address
5061 S 160TH Cir
Omaha, NE 68135-1016
Phone (402) 350-1828
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1664 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medlink Companion, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1730433780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5061 S 160TH CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681351016",
"telephone_number": "402-350-1828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5061 S 160TH CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681351016",
"telephone_number": "402-350-1828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDDER",
"first_name": "AMANDA",
"middle_name": "MARIE",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-30",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.