Individual provider Active NPI

Patricia Ellen Riley, MD

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
National Provider Identifier
1013985746
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD060054L Issued in PA
Practice address
2601 Holme Ave
Philadelphia, PA 19152-2007
Phone
(215) 335-6375
Fax
(215) 335-6196
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD060054L PA Primary

Addresses

Primary practice location

2601 Holme Ave
Philadelphia, PA 19152-2007

Mailing address

23 N Delsea Dr Unit B
Clayton, NJ 08312-1637
Phone (856) 423-7700

Other practice location 1

110 Masons Way
Newtown Square, PA 19073-1810
Phone (610) 322-7400

Other identifiers 1

IdentifierTypeStateIssuer
001726304MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608000923 PA Practitioner - Physical Medicine and Rehabilitation 7315980521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Medical College of Pennsylvania, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (215) 335-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD060054LPAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pat Riley M.D. & Associates Physical Medicine & Rehabilitation CurrentSince Jul 1, 2011 Accepting new patients
Orthopaedic Specialists, P.C. Current Accepting new patients
Robert J. Kreb III Physical Medicine & Rehabilitation Past Accepting new patients
Dr. Ernest M. Baran, P.C. Past Accepting new patients
RDS Rehabilitation Associates Physical Medicine & Rehabilitation Past Accepting new patients

Locations

175 W Cohawkin Rd
Ste C
Clarksboro, NJ 08020

23 N Delsea Dr
#B
Clayton, NJ 08312
Phone (856) 226-4852

27 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (610) 527-1762

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1013985746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N DELSEA DR UNIT B",
            "city": "CLAYTON",
            "state": "NJ",
            "postal_code": "083121637",
            "telephone_number": "856-423-7700",
            "fax_number": "856-423-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 HOLME AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522007",
            "telephone_number": "215-335-6375",
            "fax_number": "215-335-6196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Masons Way",
            "address_purpose": "LOCATION",
            "city": "Newtown Square",
            "state": "PA",
            "postal_code": "190731810",
            "country_code": "US",
            "telephone_number": "610-322-7400",
            "fax_number": "484-367-7623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "PATRICIA",
        "middle_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD060054L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001726304",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.