CAMERON RIDDLE (DPT) – Physical Therapist, NPI 1346040573

CAMERON RIDDLE (DPT) is a healthcare provider. based in Folsom, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 30784 (CA). The NPI Number for CAMERON RIDDLE (DPT) is 1346040573

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
CAMERON RIDDLE (DPT)
NPI
1346040573
Phone
(916) 983-5915
Address
1301 E BIDWELL ST STE 201
Enumeration Date
17 March 2025
Last Update Date
17 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9169835900
Graduation Year
2024 (2 years ago)
PAC ID
2365960788
Group Practice PAC ID
8921019746
Professional Enrollment ID
I20250519002762
Address ID
CA956303565FO1301XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

9,448 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for CAMERON RIDDLE (DPT)

  • 1301 E BIDWELL ST STE 201

    FOLSOM, CA 956303565

    Phone: (916) 983-5915

    Type: Mailing

  • 1301 E BIDWELL ST STE 101

    FOLSOM, CA 956303565

    Phone: (916) 983-5915

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250519002762IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95630)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921019746View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Can I cross-check CAMERON RIDDLE (DPT) using NPI 1346040573?
NPI 1346040573 belongs to CAMERON RIDDLE (DPT); compare other details if you need extra assurance.
Would CAMERON RIDDLE (DPT) appear as active to a payer?
You can treat CAMERON RIDDLE (DPT) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for CAMERON RIDDLE (DPT)?
At a glance, CAMERON RIDDLE (DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is CAMERON RIDDLE (DPT) located near Folsom?
CAMERON RIDDLE (DPT) currently maps to Folsom, California in this extract.
Can I trust this NPI listing for CAMERON RIDDLE (DPT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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