Kevin Patrick Riley, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6359 Issued in ME

Practice address

8 Science Park Rd
Scarborough, ME 04074-6112

Phone

(207) 761-8402

NPI assigned

Oct 10, 2022

Sex

Male

Sole proprietor

Yes

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 ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

NR Maine LLCGroup PAC ID 0648783308, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• NR Maine LLC

  • Rehabilitation Clinic/Center
  • Scarborough, ME
  • NPI 1902616568
  Medicare reassignment Care Compare group NPD
• Goodwill Industries of Northern New England

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Portland, ME
  • NPI 1588785463

  Physical Therapist

  Medicare reassignment NPD
• NR Maine, LLC

  • Rehabilitation Clinic/Center
  • Augusta, ME
  • NPI 1255122818
  NPD

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1275258477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WYCLIFFE RD",
            "city": "EAST WALPOLE",
            "state": "MA",
            "postal_code": "020321351",
            "telephone_number": "508-733-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SCIENCE PARK RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040746112",
            "telephone_number": "207-761-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "KEVIN",
        "middle_name": "PATRICK",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT6359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Ann Richard, AGACNP-BC
• Katharine Kennesaw Richards, NP
• Jessica Adelaide Richardson, NP
• Alan Frederick Keohane Riley, MD
• Kathleen Megan Riley, CNM
• Stephen D. Rioux, MD
• Mandie Lasselle Riseman, LCSW
• Lawrence J Risigo, PT
• Jesse S Ritch, PA-C
• Rite Aid

• Physical Therapist in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.