Mary Ridgeway, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15332 Issued in TN

Practice address

7811 Oak Ridge Hwy
Knoxville, TN 37931-2345

Phone

(865) 313-2345

NPI assigned

Dec 20, 2023

Last updated

Dec 20, 2023By the provider in NPPES

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 TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Knox Physical Therapy, LLCGroup PAC ID 3072868090, 14 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Knox Physical Therapy, LLC

  dba Knoxville Physical Therapy

  • Physical Therapist
  • Knoxville, TN
  • NPI 1578079372
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1740059674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7811 OAK RIDGE HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379312345",
            "telephone_number": "865-313-2445",
            "fax_number": "865-313-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7811 OAK RIDGE HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379312345",
            "telephone_number": "865-313-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGEWAY",
        "first_name": "MARY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Scheland Ridens, LPC-MHSP, NCC
• Rider Mobility Inc.
• Shea Rider
• Steven Patrick Rider, M.D.
• Sean M Ridge, PHD
• Beth Ann Ridings
• Shauna Michelle Ridley
• Sara Elizabeth Ridner, LCSW
• Ashley D Riedy
• Karen M Riegal, COTA

• Physical Therapist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.