CNC, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1978 Issued in ID

Legal business name

CNC, INC.

Practice address

3140 W Milano Dr
Suite 100
Meridian, ID 83646-7290

Phone

(208) 895-0022

Fax

(208) 898-9308

NPI assigned

Feb 5, 2013

Organization subpart

No

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

Authorized official

Name

Charles G Riddle II, PT, DPT

Title

Owner

Phone

(208) 895-0022

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1821337205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 W MILANO DR",
            "address_2": "SUITE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467290",
            "telephone_number": "208-895-0022",
            "fax_number": "208-898-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 W MILANO DR",
            "address_2": "SUITE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467290",
            "telephone_number": "208-895-0022",
            "fax_number": "208-898-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-895-0022",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-1978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Kathleen Cleverly, AU.D. CCC-A, F-AA
• Martha A Cline, MD
• Paige W Cline, PA-C
• Shane M Clubb, M.A., L.C.P.C.
• Travis Clyde, M.D.
• Wendy I Coffman, LCSW
• Cognitive Solutions, PLLC
• Tobias Colburn, DPT
• Alyssa Cole, CSFA
• Teresa L Cole, PHARMD

• Physical Therapist in Meridian, ID
• Providers in Meridian, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.