Individual provider Active NPI

Christi P Riley, DPT OCS ATC CSCS

  • Physical Therapist
  • Normandy Park, WA
National Provider Identifier
1144266230
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-00010460 Issued in WA
Practice address
17833 1St Ave S
Normandy Park, WA 98148-1713
Phone
(253) 330-8518
NPI assigned
Jun 20, 2006
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT22704 CA
Physical Therapist 225100000X PT-00010460 WA Primary
Orthopedic Physical Therapist 2251X0800X PT00010460 WA

Addresses

Primary practice location

17833 1St Ave S
Normandy Park, WA 98148-1713

Mailing address

1940 S Bonito Way Ste 190
Meridian, ID 83642-5618
Phone (208) 287-9420

Other practice location 1

13050 Military Rd S
Tukwila, WA 98168-3047
Phone (206) 248-3080 ext. 107

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090826000935 WA Practitioner - Physical Therapist in Private Practice 1658426655 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kintsugi Physical TherapyGroup PAC ID 9537593298, 5 clinicians

Practice addresses (Care Compare)

17833 1St Ave S
Suite a
Normandy Park, WA 98148-1713
Phone (253) 220-4099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT22704CAMDPhysical Therapist
PT-00010460WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Highline Physical Therapy Group Physical Therapist CurrentSince May 17, 2009 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince May 17, 2009 Accepting new patients
Kintsugi Physical Therapy Physical Therapist CurrentSince Nov 14, 2019 Accepting new patients
Fortanasce Physical Therapy, Inc Physical Therapist Past Accepting new patients

Locations

1940 S Bonito Way
Ste 190
Meridian, ID 83642

2965 E Tarpon Dr
Ste 150
Meridian, ID 83642
Phone (208) 509-8987

16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400

181 S 333rd St
Ste 250
Federal Way, WA 98003

17833 1st Ave S
Ste A
Normandy Park, WA 98148
Phone (253) 220-4099

4700 42nd Ave SW
Ste 510
Seattle, WA 98116
Phone (206) 408-6523

13050 Military Rd S
Tukwila, WA 98168
Phone (206) 248-3080

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, 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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1144266230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 S BONITO WAY STE 190",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425618",
            "telephone_number": "208-287-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17833 1ST AVE S",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981481713",
            "telephone_number": "253-330-8518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13050 Military Rd S",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981683047",
            "country_code": "US",
            "telephone_number": "206-248-3080 x107",
            "fax_number": "206-248-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "CHRISTI",
        "middle_name": "P",
        "credential": "DPT OCS ATC CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22704",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT-00010460",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00010460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normandy Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.