STACI W RIDDLING (PT) – Physical Therapist, NPI 1881688588

STACI W RIDDLING (PT) is a healthcare provider. based in Macclenny, Florida. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. PT21373 (FL). The NPI Number for STACI W RIDDLING (PT) is 1881688588

Main info

Female
Name
STACI W RIDDLING (PT)
NPI
1881688588
Phone
(904) 259-1649
Address
534 S 5TH ST # A
Enumeration Date
8 September 2005
Last Update Date
31 May 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for STACI W RIDDLING (PT)

  • South 5th Street, Macclenny, Baker County, Florida, 32063, United States

    MACCLENNY, FL 32063

    Phone: (904) 259-1649

    Type: Location

  • PO BOX 8847

    FLEMING ISLAND, FL 320060019

    Phone:

    Type: Mailing

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: 2004-07-07

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
I20040707000684IPhysical Therapist In Private PracticeFLTBD

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 32063)

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Provider's Procedures

STACI W RIDDLING (PT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYFL97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes28885

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Frequently asked questions

Can I verify STACI W RIDDLING (PT) with an NPI only?
You can start verification with NPI 1881688588 for STACI W RIDDLING (PT), then check state licensing separately.
Does the file indicate STACI W RIDDLING (PT) is practicing under active NPI?
Directory data currently reports STACI W RIDDLING (PT) as active.
What is STACI W RIDDLING (PT)'s primary classification?
Physical Therapist is the headline specialty for STACI W RIDDLING (PT) here. Clinical services aligned with this taxonomy classification.
What address line appears for STACI W RIDDLING (PT)?
STACI W RIDDLING (PT)'s geographic hint is Macclenny, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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