Roger L Ridd, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008544 Issued in WA

Practice address

4205 Castlevale Rd
Yakima, WA 98908-5603

Phone

(509) 576-0100

Fax

(509) 576-0101

NPI assigned

Sep 21, 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 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creekside Physical Therapy PLLCGroup PAC ID 5294710562, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.66 of 100Reported as group

Quality

80.52

Improvement activities

40

Cost

78.16

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Creekside Physical Therapy, PLLC

  • Physical Therapist
  • Yakima, WA
  • NPI 1922071455
  Medicare reassignment Care Compare group
• Ellensburg Physical Therapy Center Inc

  • Physical Therapist
  • Ellensburg, WA
  • NPI 1457460123
  NPD (past)
• Westside Physical Therapy and Sports Medicine Inc PS

  • Physical Therapist
  • Yakima, WA
  • NPI 1821080987
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1437258167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 CASTLEVALE RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989085603",
            "telephone_number": "509-576-0100",
            "fax_number": "509-576-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 CASTLEVALE RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989085603",
            "telephone_number": "509-576-0100",
            "fax_number": "509-576-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3908 Creekside Loop Ste 120",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989024858",
            "country_code": "US",
            "telephone_number": "509-576-0100",
            "fax_number": "509-576-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDD",
        "first_name": "ROGER",
        "middle_name": "L",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "8350647",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8945507",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF WORKERS COMP",
            "identifier": "106263300",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Richey
• Daniel Richmond
• Tammy Richmond
• Sandra Ricking, PTA
• Julianne E Rictor, LP00057089
• Samantha Riddle, SUDP
• Todd Paige Riddle, RPH
• Thomas Ridge
• Steven Robert Ridgeway-Anderson I
• Doran James Riehl, DDS

• Physical Therapist in Yakima, WA
• Providers in Yakima, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.