Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mimi Kristina Marina Rider, DPT

Individual provider Physical Therapist · NPI 1174337687

Mimi Kristina Marina Rider, DPT is a Physical Therapist in Private Practice in Plano, Texas. Qualified in 2024, 2 years ago. Practices with Coppell Spine and Sports Rehab Limited Partnership, an 18-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

8608 Preston Rd Ste 110
Plano, TX 75024-3317
Phone: (214) 432-5862
Fax: (214) 431-4305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1405007 (TX)

Record details

NPI number1174337687
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 4, 2025
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Coppell Spine And Sports Rehab Limited Partnership — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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