Kathryn Joyce Riley, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17093 Issued in MT

Practice address

74 Pumpkin Creek Rd
Volborg, MT 59351-9514

Phone

(406) 554-3526

NPI assigned

May 24, 2019

Last updated

Apr 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Powder River CountyGroup PAC ID 2860543667, 5 clinicians

The Body Shop Physical TherapyGroup PAC ID 5496168783, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Body Shop Physical Therapy

  • Physical Therapy Clinic/Center
  • Broadus, MT
  • NPI 1902429442

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Powder River County

  dba Powder River Manor

  • Skilled Nursing Facility
  • Broadus, MT
  • NPI 1386611747
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1265099279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 PUMPKIN CREEK RD",
            "city": "VOLBORG",
            "state": "MT",
            "postal_code": "593519514",
            "telephone_number": "406-554-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 PUMPKIN CREEK RD",
            "city": "VOLBORG",
            "state": "MT",
            "postal_code": "593519514",
            "telephone_number": "406-554-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "KATHRYN",
        "middle_name": "JOYCE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "17093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.