Charee' Rene' Riddle, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TA1190 Issued in OK

Practice address

430 N Monte Vista St
Ada, OK 74820-4610

Phone

(580) 332-3349

Fax

(580) 421-1220

NPI assigned

May 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174730774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 89J",
            "city": "MILL CREEK",
            "state": "OK",
            "postal_code": "748569734",
            "telephone_number": "580-384-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204610",
            "telephone_number": "580-332-3349",
            "fax_number": "580-421-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "CHAREE'",
        "middle_name": "RENE'",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "TA1190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Rhynes, MS, LPC; SUBSTANCE A
• Lisa Rhynes, ARNP-CNP
• Razia Riaz
• Danielle Nicole Richardson
• Natalie Richardson, LMFT
• Michael Christopher Riden, D.C.
• Donn Nell Marie Riggs, MSW
• Ramona Legay Riggs, MS, LPC
• Malorie Riley
• Taylor Rinehart

• Physical Therapy Assistant in Ada, OK
• Providers in Ada, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.