MARY TERESA RIDER (PT) – Physical Therapist, NPI 1376741009

MARY TERESA RIDER (PT) is a healthcare provider. based in Germantown, Tennessee. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 3478 (TN). The NPI Number for MARY TERESA RIDER (PT) is 1376741009

Main info

Female
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
MARY TERESA RIDER (PT)
NPI
1376741009
Phone
(901) 309-1321
Address
2301 GLENBAR DR
Enumeration Date
3 July 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4357168535
Graduation Year
1986 (40 years ago)
PAC ID
0446786842
Group Practice PAC ID
2668415860
Professional Enrollment ID
I20241209003191
Address ID
UT843213809LO209XX300X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,334 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TN

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Provider Addresses for MARY TERESA RIDER (PT)

  • 2301, Glenbar Drive, Germantown, Shelby County, Tennessee, 38139, United States

    GERMANTOWN, TN 381395417

    Phone: (901) 309-1321

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241209003191IPhysical Therapist In Private PracticeUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38139)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668415860View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
-UT
-UT
Physical Therapist In Private PracticeAZ
-UT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeID

Reviews

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Frequently asked questions

How do payers reference MARY TERESA RIDER (PT)?
For MARY TERESA RIDER (PT), use NPI 1376741009 as the unique 10-digit identifier.
Is MARY TERESA RIDER (PT) still an active registrant?
MARY TERESA RIDER (PT) carries an active NPI according to the public dataset.
What expertise is attributed to MARY TERESA RIDER (PT)?
MARY TERESA RIDER (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MARY TERESA RIDER (PT) located near Germantown?
MARY TERESA RIDER (PT) currently maps to Germantown, Tennessee in this extract.
When was this NPI issued?
Enumeration for MARY TERESA RIDER (PT) is noted as July 3, 2007 where the registry provides it.

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