ETHAN RIDENOUR COTA/L
NPI 1912319039
Occupational Therapy Assistant in Carrollton, IL

Active since May 22, 2014
320 4TH STREET, CARROLLTON, IL 62016(314) 328-9362(618) 619-6881 Get Directions Write a Review

NPPES record last updated: October 15, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ethan Ridenour Cota/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN RIDENOUR COTA/L (NPI 1912319039) is an individual occupational therapy assistant in Carrollton, Illinois, licensed in Illinois (057004022) and active in the NPI registry since May 2014. He maintains a secondary practice location in Pittsfield.

NPPES Registry Identity

NPI1912319039
Entity TypeIndividualMale
Primary Taxonomy224Z00000X
Provider Legal NameETHAN RIDENOURCredential: COTA/L
Location Address320 4TH STREETCarrollton, IL 62016-1135
Mailing Address320 4th StreetCarrollton, IL 62016-1135 · (314) 328-9362 · Fax (618) 619-6881
Fax(618) 619-6881
Sole ProprietorNo
Enumeration DateMay 22, 2014
Last NPPES UpdateOctober 15, 2018
NPI 1912319039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
Licenses Licensed in IL · 057004022 Licensed in IL · 057001592
Definition
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.
Also ListedOccupational TherapistTaxonomy 225X00000X · License 056004047 (IL)
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License 146010465 (IL)
320 4TH STREET, Carrollton, IL 62016

Secondary Practice Location 1

Location 1610 Lowry StPittsfield, IL 62363-1768 · Phone (217) 285-5200

Other Identifiers 1

Other1912319039IL · Medicare

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Ridenour's NPI number?

The NPI number for Ethan Ridenour is 1912319039. It was assigned to this individual provider in the NPPES registry on May 22, 2014.

Where is Ethan Ridenour located?

Ethan Ridenour practices at 320 4th Street, Carrollton, IL 62016. The listed phone number is (314) 328-9362.

What is Ethan Ridenour's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

When was this NPI record last updated?

The NPPES record for Ethan Ridenour was last updated on October 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.