Individual provider Active NPI

Maria Riordan, MSPT

  • Physical Therapist
  • Moscow, PA
National Provider Identifier
1033144886
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-007042L Issued in PA
Practice address
107 NP 502 PLZ
Moscow, PA 18444-9266
Phone
(570) 848-1240
Fax
(570) 848-1243
NPI assigned
Jul 11, 2006
Last updated
Jan 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-007042L PA Primary

Addresses

Primary practice location

107 NP 502 PLZ
Moscow, PA 18444-9266

Mailing address

918 Greenfield Rd
Moscow, PA 18444-8621

Other identifiers 5

IdentifierTypeStateIssuer
50017299OtherPACAPITAL BLUE CROSS
0507505000OtherPAINDEPENDENCE BLUE CROSS
076038OtherPAFIRST PRIORITY HEALTH
546174OtherPAAETNA
674174OtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161212000498 PA Practitioner - Physical Therapist in Private Practice 5890075766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley HospitalGroup PAC ID 2961310446, 54 clinicians

Practice addresses (Care Compare)

707 Hamilton St
FL 4
Allentown, PA 18101-2407
Phone (484) 862-3001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-007042LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Hospital Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Lehigh Valley Hospital CurrentSince Nov 1, 2023 Accepting new patients
Health Poconos, Inc Past Accepting new patients

Locations

707 Hamilton St
Fl 4
Allentown, PA 18101
Phone (484) 862-3001

2901 Emrick Blvd
Ste 103
Bethlehem, PA 18020
Phone (610) 625-2169

700 Hawk Ridge Dr
Hamburg, PA 19526
Phone (610) 562-0170

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1033144886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 GREENFIELD RD",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184448621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NP 502 PLZ",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184449266",
            "telephone_number": "570-848-1240",
            "fax_number": "570-848-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIORDAN",
        "first_name": "MARIA",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-007042L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50017299",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0507505000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "076038",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "546174",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "674174",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.