Jennifer Riske, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A-0791 Issued in NV

Practice address

3870 W Ann Rd
North Las Vegas, NV 89031-4411

Phone

(702) 396-7100

NPI assigned

Apr 7, 2022

Last updated

Apr 7, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Chynoweth Hill and Leavitt LLC

  dba Kelly Hawkins Physical Therapy Works

  • Physical Therapist
  • Pahrump, NV
  • NPI 1700878444
  NPD (past)

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1033851480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 BOX SPRINGS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890315051",
            "telephone_number": "702-336-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 W ANN RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890314411",
            "telephone_number": "702-396-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISKE",
        "first_name": "JENNIFER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NV",
            "license": "A-0791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edelmira Rios
• Esmeralda Guadalupe Rios
• Lauren Taylor Rios
• Panfilo Rios
• Rise Homes
• Peter A Riso Jr., RPH
• Jeanne Rivadelo
• Angel Rivas
• Dolores Cena Rivas
• Michelle J Rivas, DMD

• Physical Therapy Assistant in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Physical Therapy Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.