Carole Riley, OTR/L
Individual provider Active NPI Occupational Therapist · Kennett Square, PA
NPI 1346534005 · NPPES record last updated May 30, 2011
Key facts
- NPI
- 1346534005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT12369 (FL)
- Practice address
- 101 E State St
Kennett Square, PA 19348-3109 - Phone
- (610) 444-6350
- NPI assigned
- May 30, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sobe Innovative Rehabilitation PLLC
Practice addresses (Care Compare)
279 NW California Blvd
Port Saint Lucie, FL 34986-2507
Phone (786) 770-9480
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190521001881 | FL | Practitioner - Occupational Therapist in Private Practice | 2769725464 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sobe Innovative Rehabilitation PLLC | Occupational Therapist | Current |
Accepting new patients |
| Strength and Balance Institute | Occupational Therapist | Current |
Accepting new patients |
Locations
2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT12369 | FL | Yes |
Addresses
Primary practice location
101 E State St
Kennett Square, PA 19348-3109
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 444-6350
NPI Registry JSON
{
"created_epoch": "1306713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306713600000",
"number": "1346534005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "610-444-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "610-444-6350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "CAROLE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-30",
"last_updated": "2011-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT12369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennett Square, PA
- Jessica Renninger
- Shantrell Renthrope
- Susan L. Ricciardi
- Stephanie A Richers
- Sydney Nicole Rigsby
- Tiffany M Riley
- Rite Medical Care PC
- Marybeth Rizzo Moore
- Olivia Anne Robb
- Katie Gable Robinson
All providers in Kennett Square, PA · Occupational Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.