Individual provider Active NPI

Victoria Riddle, PT, DPT

  • Physical Therapist
  • New Haven, CT
National Provider Identifier
1871386177
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14859 Issued in CT
Practice address
285 Nicoll St
New Haven, CT 06511-0922
Phone
(475) 261-4001
NPI assigned
May 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14859 CT Primary

Addresses

Primary practice location

285 Nicoll St
New Haven, CT 06511-0922

Mailing address

285 Nicoll St
New Haven, CT 06511-0922

Other practice location 1

12 Village St Ste 7
North Haven, CT 06473-3827
Phone (475) 261-4045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250623000995 CT Practitioner - Physical Therapist in Private Practice 2264944651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ptsma IncGroup PAC ID 7911800180, 173 clinicians

Practice addresses (Care Compare)

285 Nicoll St
New Haven, CT 06511-2625
Phone (475) 261-4001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ptsma, Inc. Physical Therapist Current Accepting new patients
Ptsma Inc CurrentSince Jun 12, 2025 Accepting new patients
Ptsma, Inc. CurrentSince Jun 12, 2025 Accepting new patients

Locations

12 Village St
Ste 7
North Haven, CT 06473
Phone (475) 261-4045

37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1871386177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 NICOLL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065110922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 NICOLL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065110922",
            "telephone_number": "475-261-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Village St Ste 7",
            "address_purpose": "LOCATION",
            "city": "North Haven",
            "state": "CT",
            "postal_code": "064733827",
            "country_code": "US",
            "telephone_number": "475-261-4045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "VICTORIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.