Individual provider Active NPI

Lanora Riley

  • Physical Therapist
  • Peoria, AZ
National Provider Identifier
1033290549
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5302 Issued in AZ
Practice address
6760 W Thunderbird Rd Ste E110
Peoria, AZ 85381-5027
Phone
(623) 846-7614
Fax
(623) 846-0993
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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 5302 AZ Primary

Addresses

Primary practice location

6760 W Thunderbird Rd Ste E110
Peoria, AZ 85381-5027

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041112000636 AZ Practitioner - Physical Therapist in Private Practice 1153385844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

40601 N Gantzel Rd
Suite 103
San Tan Valley, AZ 85140-7036
Phone (480) 964-2908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5302AZMDAttendant Care Provider

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Specialists of North America, PLLC CurrentSince Nov 30, 2020 Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Nov 30, 2020 Accepting new patients
Strength Training Inc Physical Therapist PastSince Oct 1, 2001 Accepting new patients
Strength Training Inc Past Accepting new patients

Locations

10450 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 846-7614

7225 W Harrison St
Chandler, AZ 85226
Phone (480) 306-4160

20325 N 51st Ave
Ste 150
Glendale, AZ 85308
Phone (602) 795-6300

21465 N 78th Ave
Ste 170
Peoria, AZ 85382
Phone (602) 380-6807

17233 N Holmes Blvd
Ste 1650
Phoenix, AZ 85053
Phone (602) 547-1836

2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

9327 N 3rd St
Ste 300
Phoenix, AZ 85020
Phone (602) 631-3166

40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

9219 E Hidden Spur Trl
Ste 100
Scottsdale, AZ 85255
Phone (602) 380-6807

Organizations & group practices 4

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1033290549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "602-385-2115",
            "fax_number": "480-418-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 W THUNDERBIRD RD STE E110",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815027",
            "telephone_number": "623-846-7614",
            "fax_number": "623-846-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "LANORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.