Individual provider Active NPI

Patricia L Riley, PT

  • Physical Therapist
  • Grand Junction, CO
National Provider Identifier
1427094671
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1666 Issued in CO
Practice address
2163 Buffalo Dr
Grand Junction, CO 81507
Phone
(970) 314-7345
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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 1666 CO Primary

Addresses

Primary practice location

2163 Buffalo Dr
Grand Junction, CO 81507

Mailing address

2163 Buffalo Dr
Grand Junction, CO 81507-2544
Phone (970) 314-7345

Other practice location 1

3150 N 12th St
Garden Level
Grand Junction, CO 81506-2863
Phone (970) 241-5856

Other identifiers 4

IdentifierTypeStateIssuer
840999425004OtherCOHMO
840999425OtherCOTAX ID
86980220MedicaidCO
650010143OtherCOMEDICARE, RAILROAD

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

State licenses

LicenseStateTypeSpecialty
1666COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Ultrasound, Inc Past Accepting new patients
Mountain Valley Rehabilitation, PC PastSince Nov 1, 1982 Accepting new patients

Organizations & group practices 2

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1427094671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2163 BUFFALO DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815072544",
            "telephone_number": "970-314-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2163 BUFFALO DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81507",
            "telephone_number": "970-314-7345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 N 12th St",
            "address_2": "Garden Level",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815062863",
            "country_code": "US",
            "telephone_number": "970-241-5856",
            "fax_number": "970-241-8599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "1666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "840999425004",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "840999425",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86980220",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, RAILROAD",
            "identifier": "650010143",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.