Individual provider Active NPI

Riley Erin Bocan

  • Massage Therapist
  • Indiana, PA
National Provider Identifier
1376284521
Registry record updated Apr 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG013278 Issued in PA
Practice address
1630 Philadelphia St Unit 1040
Indiana, PA 15701-4062
Phone
(724) 420-4617
NPI assigned
Apr 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MSG013278 PA Primary

Addresses

Primary practice location

1630 Philadelphia St Unit 1040
Indiana, PA 15701-4062

Mailing address

230 College Lodge Rd
Indiana, PA 15701-4008
Phone (724) 420-4617

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

State licenses

LicenseStateTypeSpecialty
MSG013278PAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648944000000",
    "number": "1376284521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 COLLEGE LODGE RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157014008",
            "telephone_number": "724-420-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 PHILADELPHIA ST UNIT 1040",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157014062",
            "telephone_number": "724-420-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCAN",
        "first_name": "RILEY",
        "middle_name": "ERIN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-03",
        "last_updated": "2022-04-03",
        "certification_date": "2022-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG013278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2022; 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.