MEDICARE: MR. VERNON TYRONE RIDER P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2310	OK

General Provider Information

NPI Number	:	1346461712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. VERNON TYRONE RIDER P.T.

Provider Business Mailing Address
First Line	:	6400 NW EXPRESSWAY ST APT 212
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-5133
Country	:	US
Telephone Number	:	405-773-0806
Fax Number	:

Provider Business Practice Location Address
First Line	:	9400 SAINT ANN DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-6400
Country	:	US
Telephone Number	:	405-722-5103
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1871610709 — ST. ANN'S HOME
Practice Location Address:

9400 SAINT ANN DR
OKLAHOMA CITY, OK
73162-6400

Practice Phone: 405-728-7888
Practice Fax: 405-728-1302

1356464242 — PATRICIA ANN HEALY MOTRL
Practice Location Address:

9400 SAINT ANN DR
OKLAHOMA CITY, OK
73162-6400

Practice Phone: 405-722-5103
Practice Fax:

1376926089 — CLAIRE ZIMMERMAN JACKSON MA, CCC-SLP
Practice Location Address:

9400 SAINT ANN DR
OKLAHOMA CITY, OK
73162-6400

Practice Phone: 405-728-7888
Practice Fax:

1043798069 — SA OPERATIONS LLC
Practice Location Address:

9400 SAINT ANN DR
OKLAHOMA CITY, OK
73162-6400

Practice Phone: 405-728-7888
Practice Fax: 405-728-1302

1366445488 — MS. DERRIEN RELYEA P.T.
Practice Location Address:

6400 N SANTA FE AVE , STE B
OKLAHOMA CITY, OK
73116-9126

Practice Phone: 405-840-2903
Practice Fax: 405-840-3256

1629019161 — OSCAR DEAN JAMES MD
Practice Location Address:

4525 NE 38TH ST
OKLAHOMA CITY, OK
73121-6400

Practice Phone: 405-551-0563
Practice Fax:

Directions to “ MR. VERNON TYRONE RIDER P.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.