Ethan Ridenour, COTA/L
NPI 1912319039 · Occupational Therapy Assistant · Carrollton, IL
Ethan Ridenour, COTA/L is a Occupational Therapy Assistant provider in Carrollton, IL (NPI 1912319039).
Provider details
- NPI number
- 1912319039
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- No
- License
- 057001592 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 610 Lowry StPittsfield, IL 62363-1768Phone: (217) 285-5200
Registry dates
- Enumerated
- 2014-05-22
- Last updated
- 2018-10-15
Frequently asked questions
- What is Ethan Ridenour's NPI number?
- Ethan Ridenour's National Provider Identifier (NPI) is 1912319039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Ridenour's specialty?
- Ethan Ridenour is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Ethan Ridenour located?
- Ethan Ridenour's practice location on file with NPPES is 320 4th Street, Carrollton, IL 62016-1135.
- What is Ethan Ridenour's phone number?
- The practice phone number listed in the NPPES registry for Ethan Ridenour is (314) 328-9362.
- Is Ethan Ridenour's NPI active?
- Yes — Ethan Ridenour's NPI (1912319039) is active in the NPPES registry as of the last update on 2018-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.