Active NPI
Jaclyn A Riley, PT
- Physical Therapist
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7830
- Practice address
- 2334 University Ave W
Suite 170
Saint Paul, MN 55114-1858 - Phone
- (651) 645-8083
- Fax
- (651) 645-8078
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7830 | MN | Primary |
Addresses
Primary practice location
2334 University Ave W
Suite 170
Saint Paul, MN 55114-1858
Mailing address
7581 9TH St N
Suite 100
Oakdale, MN 55128-6626
Phone (651) 747-4328
Other names 1
- Jaclyn A Sames
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 831-8742
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7830 | MN | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Partners, Inc. | Physical Therapist | Current | Accepting new patients |
| Tria Orthopaedic Center LLC | Physical Therapist | Current | Accepting new patients |
| Therapy Partners Inc | Physical Therapist | Past | Accepting new patients |
| Saunders Therapy Centers Inc | Physical Therapist | Past | Accepting new patients |
Locations
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
7581 9th St N
Ste 100
Saint Paul, MN 55128
1939 Minnehaha Ave W
Ste 300
Saint Paul, MN 55104
1700 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 993-7800
1700 Tower Dr W
Stillwater, MN 55082
Phone (651) 275-4706
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.
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1518273085
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Saint Paul, MN
- NPI 1407809494
Physical Therapist
-
- Physical Therapist
- Bloomington, MN
- NPI 1952554495
-
- Physical Therapist
- Forest Lake, MN
- NPI 1821179607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1093807299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7581 9TH ST N",
"address_2": "SUITE 100",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551286626",
"telephone_number": "651-747-4328",
"fax_number": "651-748-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2334 UNIVERSITY AVE W",
"address_2": "SUITE 170",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141858",
"telephone_number": "651-645-8083",
"fax_number": "651-645-8078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "JACLYN",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACLYN",
"last_name": "SAMES",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.