National Provider Identifier

Autumn Marie Ridout

Autumn Marie Ridout is listed in the NPPES registry with a primary specialty of Occupational Therapist in Victor, NY and a listed phone number of (585) 924-7207.

NPI 1114592763Victor, NYOccupational Therapist

Profile Overview

NPI
1114592763
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
May 26, 2021
Last Updated
August 13, 2025

Practice Location

  • 590 Fishers Station Dr Ste 130
  • Victor, NY 14564-9744

Phone: (585) 924-7207

Mailing Address

  • 522 Dodge RD
  • Frewsburg, NY 14738-9742

Specialties

  • Occupational Therapist (225X00000X)
  • Occupational Therapy Assistant (224Z00000X)
Full Record
NPI
1114592763
Entity Type
Individual
Last Name
Ridout
First Name
Autumn
Middle Name
Marie
Mailing Street Address
522 Dodge RD
Mailing City
Frewsburg
Mailing State
NY
Mailing ZIP Code
14738-9742
Mailing Country
US
Mailing Phone
(716) 397-1772
Practice Street Address
590 Fishers Station Dr Ste 130
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-9744
Practice Country
US
Practice Phone
(585) 924-7207
Enumeration Date
May 26, 2021
Last Updated
August 13, 2025
Sex
Female
Sole Proprietor
No
Certification Date
August 13, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X), Occupational Therapy Assistant (224Z00000X)