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

Red Erickson Deynata Ridon, RPT

Individual provider Physical Therapist · NPI 1679853790

Red Erickson Deynata Ridon, RPT is a Physical Therapist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

139 Fulton St Rm 502
New York, NY 10038-2535 Not confirmed with CMS for 15 years — call before visiting
Phone: (212) 571-2030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 031387-1 (NY)

Record details

NPI number1679853790
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorYes
NPI enumeratedAugust 19, 2011
Last updated in NPPESAugust 19, 2011

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