Active NPI
Michael Rideout, PT
- Physical Therapist
- Cambridge, MD
National Provider Identifier
1295169142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20895
- Practice address
- 114 Mill St
Cambridge, MD 21613-1629 - Phone
- (124) 099-4493
- NPI assigned
- Aug 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Geriatric Physical Therapist | 2251G0304X | 20895 | MD | |
| Physical Therapist | 225100000X | 20895 | MD | Primary |
Addresses
Primary practice location
114 Mill St
Cambridge, MD 21613-1629
Mailing address
114 Mill St
Cambridge, MD 21613-1629
Phone (240) 994-4930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1295169142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 MILL ST",
"city": "CAMBRIDGE",
"state": "MD",
"postal_code": "216131629",
"telephone_number": "240-994-4930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 MILL ST",
"city": "CAMBRIDGE",
"state": "MD",
"postal_code": "216131629",
"telephone_number": "124-099-4493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDEOUT",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-28",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Geriatrics",
"state": "MD",
"license": "20895",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "20895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MD
- Haley Megan Reed, PT, DPT
- Renal Treatment Centers Mid Atlantic Inc
- Margaret Ellen Renzetti, D.C
- Alexandra Krugler Rice, M.D.
- Alexandra Richards, PMHNP
- Rite Aid of Maryland Inc
- Robert R Mantoni DDS and Associates III PC
- Willard Blaine Rogers, MBA
- Anthony Rosario, PA-C
- Rose Hill Family Physicians, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.