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Active NPI 1912319039 Individual Practitioner Male Practitioner

Ethan Ridenour , COTA, L

Occupational Therapy Assistant • Carrollton, IL

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Professional Overview & Biography Verified Profile Summary

Ethan Ridenour, COTA, L is a registered healthcare professional specializing in Occupational Therapy Assistant in Carrollton, IL. Official NPI practice address is registered at 320 4TH STREET.

Practice Location & Contact Primary Location

Practice Address

320 4th Street

Carrollton, IL 620161135

Telephone 3143289362
Fax 6186196881

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Carrollton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Carrollton, IL (1525 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

State License IL 057004022

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Occupational Therapy Assistant

NUCC Taxonomy Code: 224Z00000X

State License IL 057001592

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Occupational Therapist

NUCC Taxonomy Code: 225X00000X

State License IL 056004047

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License IL 146010465

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare
1912319039 (IL)

Secondary Practice Locations

610 Lowry St

Pittsfield, IL 623631768

Phone: 2172855200

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 15, 2018

Registered at 320 4TH STREET, CARROLLTON, IL 620161135 (Tel: 3143289362)

📍
Updated Business Mailing Address October 15, 2018

Registered at 320 4TH STREET, CARROLLTON, IL 620161135 (Tel: 3143289362)

NPI Profile Active May 22, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2014

Registered at 610 LOWRY ST, PITTSFIELD, IL 623631768 (Tel: 2172855200)

📍
Updated Business Mailing Address May 22, 2014

Registered at 308 N MAIN ST, CARROLLTON, IL 620161135 (Tel: 6185356403)

👤
Provider Name / Credentials Updated May 22, 2014

Recorded as ETHAN RIDENOUR, COTA/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2014

Occupational Therapy Assistant (License #057004022 in IL)

🟢
Initial NPI Registration & Enumeration May 22, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912319039
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2014
Last Update: October 15, 2018
Sole Proprietor: No

Mailing Address

320 4th Street

Carrollton, IL 620161135

Phone: 3143289362

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.