Individual provider Active NPI

Riley N Smetzler

  • Occupational Therapist
  • Longview, WA
National Provider Identifier
1295372506
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
200 Triangle Shopping Ctr Ste 270
Longview, WA 98632-4684
Phone
(360) 501-3750
NPI assigned
Dec 5, 2019
Reactivated
Mar 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Occupational Therapist 225X00000X WA Primary

Addresses

Primary practice location

200 Triangle Shopping Ctr Ste 270
Longview, WA 98632-4684

Mailing address

200 Triangle Shopping Ctr Ste 270
Longview, WA 98632-4684
Phone (360) 501-3750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1295372506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TRIANGLE SHOPPING CTR STE 270",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324684",
            "telephone_number": "360-501-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRIANGLE SHOPPING CTR STE 270",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324684",
            "telephone_number": "360-501-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMETZLER",
        "first_name": "RILEY",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "deactivation_date": "2023-01-03",
        "reactivation_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.