Active NPI
Anne Ryder, M.A. CCC-SLP
- Speech-Language Pathologist
- Andover, MA
National Provider Identifier
1972680403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6762
- Practice address
- 450 Lowell St
Ironstone Farm Therapy
Andover, MA 01810-5305 - Phone
- (978) 475-4056
- Fax
- (978) 475-4046
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6762 | MA | Primary |
Addresses
Primary practice location
450 Lowell St
Ironstone Farm Therapy
Andover, MA 01810-5305
Mailing address
450 Lowell St
Ironstone Farm Therapy
Andover, MA 01810-5305
Phone (978) 475-4056
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP0153 | Other | MA | BCBS SPEECH PATHOLOGIST |
| 620733 | Other | MA | TUFTS GROUP |
| SG0013 | Other | MA | BCBS GROUP |
| 1942270574 | Other | MA | NPI GROUP |
| 3668706 | Other | MA | AETNA |
| 478889 | Other | MA | TUFTS INDIVIDUAL |
| 626557 | Other | MA | HPHC |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6762 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275955200000",
"number": "1972680403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 LOWELL ST",
"address_2": "IRONSTONE FARM THERAPY",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018105305",
"telephone_number": "978-475-4056",
"fax_number": "978-475-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 LOWELL ST",
"address_2": "IRONSTONE FARM THERAPY",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018105305",
"telephone_number": "978-475-4056",
"fax_number": "978-475-4046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYDER",
"first_name": "ANNE",
"name_prefix": "Ms.",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2010-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "6762",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS SPEECH PATHOLOGIST",
"identifier": "SP0153",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS GROUP",
"identifier": "620733",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "SG0013",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP",
"identifier": "1942270574",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3668706",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS INDIVIDUAL",
"identifier": "478889",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "626557",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.