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

Jonathan Michael Riddell, PTA

Individual provider Physical Therapy Assistant · NPI 1306332853

Jonathan Michael Riddell, PTA is a Physical Therapy Assistant in Lawton, Oklahoma. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3401 W Gore Blvd
Lawton, OK 73505-6332
Phone: (580) 355-8620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA4317 (AR)

Record details

NPI number1306332853
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJuly 9, 2018
Last updated in NPPESJuly 9, 2018
Mailing address4 W Razorback Rd, Rogers, AR 72758-9570

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