Kevin Riedel, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1860 Industrial Cir Ste D
Longmont, CO 80501-6560

Phone

(303) 682-2440

Fax

(303) 682-0229

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1336258987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 INDUSTRIAL CIR D",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016560",
            "telephone_number": "303-682-2440",
            "fax_number": "303-682-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 INDUSTRIAL CIR STE D",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016560",
            "telephone_number": "303-682-2440",
            "fax_number": "303-682-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDEL",
        "first_name": "KEVIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "7387",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karyssa Richman, LMT
• Katie Ricketts, CF SLP
• Jeremy Riddell-Kaufman, LPC, MA
• Kevin W Riddleberger, P.A.
• David Neale Ridinger, L.P.C.
• Kaden Joseph Riekenberg, DC
• Cydney Renee Riggio, CNT
• Jason Riley, C.P.
• Gilda Olivia Rios, PH.D.
• Ryan J Ritchhart, PA-C

• Physical Therapist in Longmont, CO
• Providers in Longmont, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.