Active NPI
Olga Katherine Riley
- Physical Therapy Assistant
- Oceanside, NY
National Provider Identifier
1295421212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 011754
- Practice address
- 503 Ayers PL
Oceanside, NY 11572-2636 - Phone
- (516) 241-3546
- NPI assigned
- Apr 13, 2023
- Last updated
- Apr 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 011754 | NY | Primary |
Addresses
Primary practice location
503 Ayers PL
Oceanside, NY 11572-2636
Mailing address
503 Ayers PL
Oceanside, NY 11572-2636
Phone (516) 241-3546
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1295421212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 AYERS PL",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115722636",
"telephone_number": "516-241-3546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 AYERS PL",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115722636",
"telephone_number": "516-241-3546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "OLGA",
"middle_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-13",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "011754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.