Individual provider Active NPI

Riley Shea, PT, DPT

  • Physical Therapist
  • Woodinville, WA
National Provider Identifier
1427796051
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP048705T Issued in TX
Practice address
17618 140TH Ave NE
Woodinville, WA 98072-6800
Phone
(424) 402-9772
NPI assigned
May 24, 2022
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP048705T TX Primary
Physical Therapist 225100000X WA
Physical Therapist 225100000X CP043242T AZ

Addresses

Primary practice location

17618 140TH Ave NE
Woodinville, WA 98072-6800

Mailing address

26837 Maple Valley Black Diamond Rd SE Ste 200
Maple Valley, WA 98038-9917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250611001386 AZ Practitioner - Physical Therapist in Private Practice 0042690240 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP043242TAZMDPhysical Therapist
CP048705TTXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Apr 7, 2025 Accepting new patients
Elevate Physical Rehabilitation Group PLLC Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Premier Physical Rehabilitation LLC Physical Therapist CurrentSince May 29, 2022 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Apr 7, 2025 Accepting new patients
Tennessee Sports Medicine Group Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients
Nuber Chiropractic LLC PastSince Oct 21, 2025 Accepting new patients

Locations

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

1661 E Camelback Rd
Ste 152
Phoenix, AZ 85016
Phone (602) 955-8885

10503 W Thunderbird Blvd
Ste 200
Sun City, AZ 85351
Phone (623) 537-9730

2260 Sutherland Ave
Knoxville, TN 37919
Phone (865) 691-3155

2332 News Sentinel Dr
Knoxville, TN 37921
Phone (865) 951-2975

2332 News Sentinel Dr
Ste 230
Knoxville, TN 37921
Phone (865) 951-2975

26837 Maple Valley Black Diamond Rd SE
Ste 200
Maple Valley, WA 98038
Phone (425) 413-4425

17618 140th Ave NE
Woodinville, WA 98072
Phone (425) 402-9772

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1427796051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26837 MAPLE VALLEY BLACK DIAMOND RD SE STE 200",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980389917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17618 140TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726800",
            "telephone_number": "424-402-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "RILEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "CP048705T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP043242T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.