Active NPI
Shon Riley, P.T.
- Physical Therapist
- Jonesboro, AR
National Provider Identifier
1184844516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1614
- Practice address
- 505 E Matthews Ave
Suite 205
Jonesboro, AR 72401-3144 - Phone
- (870) 932-9567
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- 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 | 1614 | AR | Primary |
Addresses
Primary practice location
505 E Matthews Ave
Suite 205
Jonesboro, AR 72401-3144
Mailing address
235 County Road 620
Jonesboro, AR 72404-7423
Phone (870) 933-8821
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1614 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denton Brothers, Inc. | Physical Therapist | Past | Accepting new patients |
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": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184844516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 COUNTY ROAD 620",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724047423",
"telephone_number": "870-933-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 E MATTHEWS AVE",
"address_2": "SUITE 205",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013144",
"telephone_number": "870-932-9567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "SHON",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "1614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.