=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649148479
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RACHEL MARIE LADDEN RRT, RRT-NPS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/24/2025
-----------------------------------------------------
Last Update Date | 10/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 33-57 HARRISON ST
-----------------------------------------------------
City | JOHNSON CITY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 13790-2107
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 607-763-6102
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9345 SR 106
-----------------------------------------------------
City | KINGSLEY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18826
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 607-372-3747
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 227900000X
-----------------------------------------------------
Taxonomy Name | Registered Respiratory Therapist
-----------------------------------------------------
License Number | 009029
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2279P3900X
-----------------------------------------------------
Taxonomy Name | Neonatal/Pediatric Registered Respiratory Therapist
-----------------------------------------------------
License Number | 009029
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------