Joanna Lynn Riley, LOT

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

109122 Issued in TX

Practice address

1211 Royalty Ave
Odessa, TX 79761-2952

Phone

(432) 638-4544

NPI assigned

Oct 24, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Joanna Lynn McDonald Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1255617270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14774",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797684774",
            "telephone_number": "432-638-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 ROYALTY AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797612952",
            "telephone_number": "432-638-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JOANNA",
        "middle_name": "LYNN",
        "credential": "LOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "TX",
            "license": "109122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "MCDONALD",
            "middle_name": "LYNN",
            "credential": "LOT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Rhonor
• Nicole Taylor Richart, AUD
• Bobby Ray Richter, D C
• Louis E Ridgway III, M.D.
• Jessica Riley-Bolden, M.A., LPC
• Steven Clayton Riley, M.D.
• Jazleen Rios, COTA
• Manuel H. Rios, RN
• James E. Riser, A.T.C.
• Eliseo Rivera, M.D.

• Physical Rehabilitation Occupational Therapist in Odessa, TX
• Providers in Odessa, TX by specialty
• Physical Rehabilitation Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.