Clifford F Rideout III, PTA
Physical Therapist in Princess Anne, Maryland
1134658107- Practice location
- 11974 Edgehill Terrace RD, Princess Anne, MD 21853-2105
- Phone
- 401-651-0021
- Fax
- —
- Last updated
- August 21, 2020
Clifford Francis Rideout is a Physical Therapist based in Princess Anne, MD. Clifford Francis Rideout practices in Princess Anne, MD and has the professional credentials of PTA. The NPI Number for Clifford Francis Rideout is 1134658107 and holds a License No. 7845 (MA). The current practice location address for Clifford Francis Rideout is 11974 Edgehill Terrace RD, Princess Anne, MD 21853-2105 and can be reached out via phone at 401-651-0021.
Provider Profile Details
- NPI Number
- 1134658107
- Provider Name
- Clifford Francis Rideout
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 11974 Edgehill Terrace RD, Princess Anne, MD 21853-2105
- Phone Number
- 401-651-0021
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 5, 2017
- Last Update Date
- August 21, 2020
- Certification Date
- August 21, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11974 Edgehill Terrace RD
Princess Anne, MD 21853-2105 - City
- Princess Anne
- State
- Maryland
- Zip
- 21853-2105
- Phone Number
- 401-651-0021
Provider Business Mailing Address Details
- Address
- 86 Maplewood Ave
Gloucester, MA 01930-2732 - City
- Gloucester
- State
- MA
- Zip
- 01930-2732
- Phone Number
- 978-578-2506
License Information
- License Number (1)
- 7845
- License State (1)
- MA
- Taxonomy (1)
- Physical Therapist · 225100000X · Primary
- License Number (2)
- A4671
- License State (2)
- MD
- Taxonomy (2)
- Physical Therapist · 225100000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near Princess Anne, MD
View all Physical Therapists in Princess Anne →Frequently Asked Questions
What is the NPI number of Clifford F Rideout III, PTA?
The NPI number of Clifford F Rideout III, PTA is 1134658107. It was assigned on June 5, 2017 and is currently active in the NPPES registry.
What is the specialty of Clifford F Rideout III, PTA?
Clifford F Rideout III, PTA is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 7845.
Where does Clifford F Rideout III, PTA practice?
The practice location is 11974 Edgehill Terrace RD, Princess Anne, MD 21853-2105. The office can be reached at 401-651-0021 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134658107 directly on the NPPES registry website.