ETHAN RIDENOUR (COTA/L) – Occupational Therapy Assistant, NPI 1912319039

Occupational Therapy Assistant

ETHAN RIDENOUR (COTA/L) is a healthcare provider. based in Pittsfield, Illinois. specializing in Occupational Therapy Assistant. They hold the professional credentials COTA/L. They hold a License No. 057001592 (IL). The NPI Number for ETHAN RIDENOUR (COTA/L) is 1912319039

Main info

Male

Name

ETHAN RIDENOUR (COTA/L)

NPI

1912319039

Phone

(217) 285-5200

Address

610 Lowry St

Enumeration Date

22 May 2014

Last Update Date

15 October 2018

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience60

Completeness75

Years active:12State licenses:4Digital endpointsOther names

Provider Addresses for ETHAN RIDENOUR (COTA/L)

610 Lowry St
Pittsfield, IL 623631768
Phone: (217) 285-5200
Type: Location
320 4TH STREET
CARROLLTON, IL 620161135
Phone: (314) 328-9362
Fax: (618) 619-6881
Type: Mailing

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.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 62363)

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Reviews

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Frequently asked questions

What federal number belongs to ETHAN RIDENOUR (COTA/L)?

The federal identifier for ETHAN RIDENOUR (COTA/L) is NPI 1912319039.

Does this profile mean ETHAN RIDENOUR (COTA/L) is currently active?

Yes — ETHAN RIDENOUR (COTA/L) appears active in the national provider directory.

What field does ETHAN RIDENOUR (COTA/L) work in?

You can think of ETHAN RIDENOUR (COTA/L) as practicing within Occupational Therapy Assistant. Clinical services aligned with this taxonomy classification.

Where is ETHAN RIDENOUR (COTA/L)'s primary listing?

We display Pittsfield, Illinois because that is what the record indicates for ETHAN RIDENOUR (COTA/L).

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.