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KEVIN RIDDLE MPT
NPI 1063687721
Physical Therapist - Pediatrics in Saint Paul, MN

Active since April 24, 2008
345 SMITH AVE N, SAINT PAUL, MN 55102(651) 220-6283 Get Directions Write a Review

NPPES record last updated: April 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Riddle Mpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN RIDDLE MPT (NPI 1063687721) is an individual pediatrics provider in Saint Paul, Minnesota, licensed in Minnesota (6081) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1063687721
Entity TypeIndividualMale
Primary Taxonomy2251P0200X
Provider Legal NameKEVIN RIDDLECredential: MPT
Location Address345 SMITH AVE NSaint Paul, MN 55102-2346
Mailing Address345 Smith Ave NSaint Paul, MN 55102-2346
Phone(651) 220-6283
Sole ProprietorYes
Enumeration DateApril 24, 2008
✔ NPI 1063687721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in MN · 6081
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
345 SMITH AVE N, Saint Paul, MN 55102
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAN ZHANG PHARMD
Pharmacist
345 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 220-6820
MH HEALTH CARE SERVICES, PC
Nurse Practitioner (Primary Care)
345 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (866) 434-3255
DINEL POND M.S., C.G.C.
Genetic Counselor, MS
345 SMITH AVE N, MAILSTOP 61-245
SAINT PAUL, MN 55102
Ramsey County (651) 220-6121
MICHAEL FRAFJORD
Social Worker (Clinical)
345 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 220-6000
BREANNA JACOBS PEPIN CNP
Nurse Practitioner
345 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 220-6210
HEATHER MARIE MAY NP
Nurse Practitioner (Pediatrics)
345 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 220-6296
DR. AMY REBECCA BORDEN D.O.
Pediatrics (Pediatric Emergency Medicine)
345 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 220-6914
JENNIFER L FIERRO PA-C
Physician Assistant
345 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 220-6705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Riddle's NPI number?

The NPI number for Kevin Riddle is 1063687721. It was assigned to this individual provider in the NPPES registry on April 24, 2008.

Where is Kevin Riddle located?

Kevin Riddle practices at 345 Smith Ave N, Saint Paul, MN 55102. The listed phone number is (651) 220-6283.

What is Kevin Riddle's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Kevin Riddle was last updated on April 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.