Individual provider Active NPI

Riley Labron Oliver II, PT

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1134267230
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011643 Issued in OH
Practice address
4805 Montgomery Rd
Suite 144
Cincinnati, OH 45212-2198
Phone
(513) 458-4700
Fax
(513) 458-4708
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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 PT011643 OH Primary

Addresses

Primary practice location

4805 Montgomery Rd
Suite 144
Cincinnati, OH 45212-2198

Mailing address

4805 Montgomery Rd
Suite 144
Cincinnati, OH 45212-2198
Phone (513) 458-4700

Other identifiers 2

IdentifierTypeStateIssuer
3130436MedicaidOH
000000677068OtherATHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT011643OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Howell Rehabilitation Inc Physical Therapist Past Accepting new patients
Tender Loving Care Health Care Services Midwest, LLC Past Accepting new patients

Organizations & group practices 2

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1134267230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 MONTGOMERY RD",
            "address_2": "SUITE 144",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122198",
            "telephone_number": "513-458-4700",
            "fax_number": "513-458-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 MONTGOMERY RD",
            "address_2": "SUITE 144",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122198",
            "telephone_number": "513-458-4700",
            "fax_number": "513-458-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "RILEY",
        "middle_name": "LABRON",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT011643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3130436",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHEM",
            "identifier": "000000677068",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.