Bobbi Jo Ridenour, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2766 Issued in WV

Practice address

306 W Main St
Bridgeport, WV 26330-1751

Phone

(304) 842-3137

Fax

(304) 842-3138

NPI assigned

Jul 8, 2009

Last updated

Jul 12, 2012By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Bridgeport Physical Therapy Services, Inc.Group PAC ID 3678501855, 7 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.

• Bridgeport Physical Therapy Services, Inc.

  • Specialist
  • Bridgeport, WV
  • NPI 1912086158
  Medicare reassignment Care Compare group NPD
• WV Therapy Services LLC

  • Specialist
  • Bridgeport, WV
  • NPI 1063692333
  Medicare reassignment NPD
• Bridgeport Physical Therapy Services, Inc.

  • Physical Therapist
  • Bridgeport, WV
  • NPI 1588146658
  NPD

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1922237106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301751",
            "telephone_number": "304-842-3137",
            "fax_number": "304-842-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301751",
            "telephone_number": "304-842-3137",
            "fax_number": "304-842-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDENOUR",
        "first_name": "BOBBI",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "002766",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "2766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810015796",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Rice
• Hailey Richards
• Kearstyn Richards
• Stephanie J Richards, AU.D.
• Marisa Richardson, CRNA
• Rachel Riffee, SLP/CF
• Amber Nicole Riley, CRNA
• Bridget Ford Riley, CRNA
• Jessica Riley, LMT
• Lyndsay Parcell Riley, MOT, OTR/L

• Physical Therapist in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.