Kelly Ann Riley, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

10422 Issued in NC

Practice address

1409 Audubon Blvd Ste B4
Wilmington, NC 28403-6753

Phone

(910) 392-2240

Fax

(910) 392-2242

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Therapy Kare, Inc

  • Pediatric Physical Therapist
  • Wilmington, NC
  • NPI 1639486558
  NPD (past) Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1104974534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 AUDUBON BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036749",
            "telephone_number": "910-392-2240",
            "fax_number": "910-392-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 AUDUBON BLVD STE B4",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036753",
            "telephone_number": "910-392-2240",
            "fax_number": "910-392-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10422",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "10422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211961",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Edison Rigsbee, PA
• Alexa Riley, MSW, LCSWA, LCASA
• Jacqueline Riley
• Katherine H Riley, FNP-BC
• Kathleen Emilia Riley, FNP
• Craig Andrew Rineer, MD
• Katherine Kelleher Ringrose
• Hayden Rinker, OTR/L
• Steve Rios-Rojas, D.C.
• Jennifer Ripa, RN

• Pediatric Physical Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Pediatric Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.