Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adam Riddle, DPT

Individual provider Physical Therapist · NPI 1114475696

Adam Riddle, DPT is a Physical Therapist in Private Practice in Lake Wylie, South Carolina. Qualified in 2016, 10 years ago. Practices with Ivyrehab Focus, Inc, a 40-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
10
Licensed in
SC
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

439 Channel Rd Ste 102
Lake Wylie, SC 29710-6101
Phone: (803) 746-7800
Fax: (803) 746-7807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8610 (SC)

Record details

NPI number1114475696
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 14, 2016
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ivyrehab Focus, Inc. — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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