Pat Riley M.D. & Associates

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD060054L Issued in PA

Legal business name

PAT RILEY M.D. & ASSOCIATES

Practice address

2601 Holme Ave
Philadelphia, PA 19152-2007

Phone

(215) 335-6659

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Pat Riley, M.D.

Title

President

Phone

(610) 322-7400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Ellen Riley, MD

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1013985746
  Medicare reassignment NPD

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1235243791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N DELSEA DR UNIT B",
            "city": "CLAYTON",
            "state": "NJ",
            "postal_code": "083121637",
            "telephone_number": "856-423-7700",
            "fax_number": "856-423-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 HOLME AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522007",
            "telephone_number": "215-335-6659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Masons Way",
            "address_purpose": "LOCATION",
            "city": "Newtown Square",
            "state": "PA",
            "postal_code": "190731810",
            "country_code": "US",
            "telephone_number": "610-322-7400",
            "fax_number": "484-367-7623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAT RILEY M.D. & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-322-7400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD060054L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "000343616",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Pastore, LCSW
• Jenna Rose Pastorini, MD
• David Pastuna, DO
• Radhika V Pasupuleti, PH.D.
• Mario J Pasuquin, CRNP
• Nicholas Stephen Patapis, PSY.D.
• Arthur S Patchefsky, M.D.
• Elizabeth Anne Patchell, PT, DPT
• Christopher D Patchet
• Nicole Jadawn Pate

• Physical Medicine & Rehabilitation Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.