Organization Active NPI

Riley Chiropractic PLLC

  • Chiropractor
  • Bloomington, IL
National Provider Identifier
1073460952
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RILEY CHIROPRACTIC PLLC
Practice address
211 S Prospect Rd Ste 5
Bloomington, IL 61704-4907
Phone
(309) 265-5173
NPI assigned
Mar 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Morgan Riley, DCNPI 1104694314
Title
Clinic Director
Phone
(309) 265-5173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

211 S Prospect Rd Ste 5
Bloomington, IL 61704-4907

Mailing address

2708 E Washington St
Bloomington, IL 61704-4648
Phone (309) 265-5173

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260413001794 IL Part B Supplier - Clinic/Group Practice 8628543113 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomington, IL

National Provider Directory

National Provider Directory

Locations

211 S Prospect Rd
Ste 5
Bloomington, IL 61704
Phone (309) 265-5173

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1073460952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 E WASHINGTON ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044648",
            "telephone_number": "309-265-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S PROSPECT RD STE 5",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044907",
            "telephone_number": "309-265-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RILEY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "309-265-5173",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.