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

Mr. Charles Guy Riddle, DPT

Individual provider Specialist · NPI 1366536609

Mr. Charles Guy Riddle, DPT is a Physical Therapist in Private Practice in Meridian, Idaho. Qualified in 2005, 21 years ago. Practices with I Can PT LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
21
Licensed in
ID
In the registry since
2006
Specialties on file
2
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

1626 S Wells Ave Ste 105
Meridian, ID 83642-4528
Phone: (208) 789-0200
Fax: (208) 288-2784
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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 PT-1978 (ID)
Specialist Taxonomy 174400000X · Licence RPT-1978 (ID)

Record details

NPI number1366536609
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESApril 12, 2018
Mailing address3140 W Milano Dr, Suite 100, Meridian, ID 83646-7290

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice I Can Pt Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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