Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Ethan Ridenour, COTA/L

Occupational Therapy Assistant in Carrollton, IL · enumerated 2014.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912319039

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Registry record

Entity type Individual (Type 1)

Name Ethan Ridenour

Credential COTA/L

Sex Male

Practice address 320 4th Street, Carrollton, IL, 62016

Phone (314) 328-9362

Fax (618) 619-6881

Enumeration date May 22, 2014

Last updated in NPPES Oct 15, 2018

Taxonomy & licenses

224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 057001592 (IL) Secondary

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 056004047 (IL) Secondary

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License 146010465 (IL) Secondary

224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 057004022 (IL) Primary

Other identifiers

Identifier	Type	State	Issuer
1912319039	Other	IL	MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Ethan Ridenour practice?

The practice location on file with NPPES is in Carrollton, IL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Ethan Ridenour?

The National Provider Identifier (NPI) for Ethan Ridenour is 1912319039, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-10-15.