Healthcare Provider Details

I. General information

NPI: 1649148479
Provider Name (Legal Business Name): RACHEL MARIE LADDEN RRT, RRT-NPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 10/24/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33-57 HARRISON ST
JOHNSON CITY NY
13790-2107
US

IV. Provider business mailing address

9345 SR 106
KINGSLEY PA
18826
US

V. Phone/Fax

Practice location:
  • Phone: 607-763-6102
  • Fax:
Mailing address:
  • Phone: 607-372-3747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number009029
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2279P3900X
TaxonomyNeonatal/Pediatric Registered Respiratory Therapist
License Number009029
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: