Individual provider Active NPI

Cortney Catherine Riley, DPT, CSCS

  • Physical Therapist
  • New Providence, NJ
National Provider Identifier
1275772105
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01169700 Issued in NJ
Practice address
1806 Springfield Ave Ste 1
New Providence, NJ 07974-1005
Phone
(908) 771-0707
Fax
(908) 263-7160
NPI assigned
Feb 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01169700 NJ Primary

Addresses

Primary practice location

1806 Springfield Ave Ste 1
New Providence, NJ 07974-1005

Mailing address

46 Mendham Rd
Gladstone, NJ 07934-2121
Phone (973) 285-7613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090518000286 NJ Practitioner - Physical Therapist in Private Practice 7517016777 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15 Corporate Dr
Suite 6
Wayne, NJ 07470-3120
Phone (973) 368-4907

1806 Springfield Ave
Suite 1
New Providence, NJ 07974-1005
Phone (908) 771-0707

2025 Hamburg Tpke
Suite E
Wayne, NJ 07470-6250
Phone (973) 835-2827

2025 Hamburg Turnpike
Suite E
Wayne, NJ 07470-6250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01169700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Physical Therapy & Sports Conditioning LLC Physical Therapist CurrentSince Dec 19, 2022 Accepting new patients
CC Physical Therapy and Wellness, LLC Physical Therapist CurrentSince Jan 5, 2022 Accepting new patients
Watchung Hills Physical Therapy Physical Therapist CurrentSince Apr 2, 2009 Accepting new patients
Performance PT LLC Past Accepting new patients
David S. Hoffman, M.D.,P.C. PastSince Jan 5, 2022 Accepting new patients

Locations

1806 Springfield Ave
Ste 1
New Providnce, NJ 07974
Phone (908) 273-9500

76 Stirling Rd
Ste 400
Warren, NJ 07059
Phone (908) 251-5888

15 Corporate Dr
Ste 6
Wayne, NJ 07470
Phone (973) 368-4907

2025 Hamburg Tpke
Ste E
Wayne, NJ 07470
Phone (201) 835-2827

Organizations & group practices 5

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": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1275772105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 MENDHAM RD",
            "city": "GLADSTONE",
            "state": "NJ",
            "postal_code": "079342121",
            "telephone_number": "973-285-7613",
            "fax_number": "973-267-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 SPRINGFIELD AVE STE 1",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741005",
            "telephone_number": "908-771-0707",
            "fax_number": "908-263-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "CORTNEY",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01169700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Providence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.