Individual provider Active NPI

Riley Richard Seymour, DPT

  • Physical Therapist
  • Warner Robins, GA
National Provider Identifier
1083412266
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017624 Issued in GA
Practice address
150 Osigian Blvd Ste 300
Warner Robins, GA 31088-8978
Phone
(478) 333-3075
Fax
(478) 333-6625
NPI assigned
Mar 4, 2025
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 PT017624 GA Primary

Addresses

Primary practice location

150 Osigian Blvd Ste 300
Warner Robins, GA 31088-8978

Mailing address

150 Osigian Blvd Ste 300
Warner Robins, GA 31088-8978
Phone (478) 333-3075

Other practice location 1

6040 Lakeside Commons Dr Ste A
Macon, GA 31210-5794
Phone (478) 254-9880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918004151 GA Practitioner - Physical Therapist in Private Practice 1254853443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

140 Osigian Blvd
Suite 300
Warner Robins, GA 31088-7879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
R Jason Kent Physical Therapy LLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients

Locations

6040 Lakeside Commons Dr
Ste A
Macon, GA 31210
Phone (478) 254-6880

140 Osigian Blvd
Ste 300
Warner Robins, GA 31088
Phone (478) 329-0291

150 Osigian Blvd
Ste 300
Warner Robins, GA 31088
Phone (478) 333-3075

Organizations & group practices 1

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": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1083412266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 OSIGIAN BLVD STE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888978",
            "telephone_number": "478-333-3075",
            "fax_number": "478-333-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 OSIGIAN BLVD STE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888978",
            "telephone_number": "478-333-3075",
            "fax_number": "478-333-6625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6040 Lakeside Commons Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312105794",
            "country_code": "US",
            "telephone_number": "478-254-9880",
            "fax_number": "478-333-6625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "RILEY",
        "middle_name": "RICHARD",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.