Individual ProviderKelly Anne RiderPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3385 Burns Rd, Palm Beach Gardens, FL 33410-4328(561) 432-0111PECOS EnrollmentBased on the most recent information from CMS, provider Kelly Anne Rider does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1689285645Provider TypeIndividualFull NameRider, Kelly AnneCredentialDPTGenderFemaleSole ProprietorYesEnumeration Date8/13/2020Last Updated6/26/2024Contact InformationPractice LocationPractice Address3385 Burns Rd, Palm Beach Gardens, FL 33410-4328Phone(561) 432-0111Fax(561) 432-1075Mailing LocationMailing Address5840 Corporate Way Ste 101, West Palm Beach, FL 33407-2040Phone(561) 432-0111Fax(561) 432-1075Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT35999Florida