RILEY BRYDAN LIDDELL (NPI# 1932624004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932624004 |
| Entity Type | Individual |
| Full Name | RILEY BRYDAN LIDDELL |
| Practice Address |
3508 12th Ave Ne Olympia WA 98506-5218 |
| Practice Telephone | 3604591099 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3508 12TH AVE NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518031483 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2006-11-20 |
| 1376167247 | Terese Jenks | Orthotist | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2020-06-05 |
| 1588287973 | Cerise R Knakal | Orthotist | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2020-05-20 |
| 1578927646 | Brian Arotca | Orthotist | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2016-04-05 |
| 1538566161 | Collins Kenneth Freitas | Pedorthist | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2014-11-25 |
| 1003241563 | Russell Miller | Prosthetist | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2013-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173934 | Christopher Smith | Orthotist | 315 Jefferson St Ne, Olympia, WA 98501-1123 | 2020-10-27 |
| 1669749941 | James Wright | Orthotist | 2102 Carriage St Sw, Bldg E, Olympia, WA 98502-1049 | 2011-11-30 |
| 1134310485 | Vivian Hope | Orthotist | 208 Lilly Rd Ne Ste A, Olympia, WA 98506-5031 | 2007-08-01 |
| 1376167247 | Terese Jenks | Orthotist | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2020-06-05 |
| 1588287973 | Cerise R Knakal | Orthotist | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2020-05-20 |
| 1487161394 | Garth Michael Knapp | Orthotist | 530 Lilly Rd Se Ste 100, Olympia, WA 98501-2105 | 2018-01-02 |
| 1285141093 | Random York Owens | Orthotist | 530 Lilly Rd Se Ste 100, Olympia, WA 98501-2105 | 2018-01-02 |
| 1578927646 | Brian Arotca | Orthotist | 3508 12th Ave Ne, Olympia, WA 98506-5218 | 2016-04-05 |
| 1609142777 | Bengt Walker | Orthotist | 208 Lilly Rd Ne Ste A, Olympia, WA 98506-6100 | 2012-03-22 |
| 1215128566 | Brett Barnts | Orthotist | 208 Lilly Rd Ne Ste A, Olympia, WA 98506-5031 | 2007-08-01 |
| Find all providers in OLYMPIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.