Cynthia Marcellino-Riley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

42 Coalter Ridge CT
Dardenne Prairie, MO 63368-7587

Phone

(314) 753-4822

NPI assigned

Jan 2, 2007

Last updated

Aug 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Special Services Cooperative of Jefferson County

  • Local Education Agency (LEA)
  • Hillsboro, MO
  • NPI 1356405617
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1023175007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 COALTER RIDGE CT",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633687587",
            "telephone_number": "314-753-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 COALTER RIDGE CT",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633687587",
            "telephone_number": "314-753-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELLINO-RILEY",
        "first_name": "CYNTHIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "485917017",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Klein, DC
• Nicholas Kruse
• Kristyn Linneman
• Little Smiles of Dardenne Prairie
• Andrew Lollar
• Julie A Mattson, IBCLC, RN
• Ninette Marie Matuszewski, OTR
• Nicole M McGowan, PHARM. D.
• Michele L Meyer
• Missouri CVS Pharmacy LLC (CVS Pharmacy #17189)

• Physical Therapist in Dardenne Prairie, MO
• Providers in Dardenne Prairie, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.