Individual provider Active NPI

Jennifer A Riley, P.T.

  • Physical Therapist
  • Franklin, WI
National Provider Identifier
1083870513
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11005-024 Issued in WI
Practice address
7253 S 76TH St
Franklin, WI 53132-9041
Phone
(414) 425-9700
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 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 11005-024 WI Primary

Addresses

Primary practice location

7253 S 76TH St
Franklin, WI 53132-9041

Mailing address

7253 S 76TH St
Franklin, WI 53132-9041
Phone (414) 425-9700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080911000474 WI Practitioner - Physical Therapist in Private Practice 3476629619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franklin Rehabilitation LLCGroup PAC ID 3173426343, 5 clinicians

Practice addresses (Care Compare)

7253 S 76TH St
Franklin, WI 53132-9041
Phone (414) 425-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11005-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Rehabilitation LLC Physical Therapist CurrentSince Aug 1, 2008 Accepting new patients

Locations

7253 S 76th St
Franklin, WI 53132
Phone (414) 425-9700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1083870513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7253 S 76TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329041",
            "telephone_number": "414-425-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7253 S 76TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329041",
            "telephone_number": "414-425-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11005-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.