Active NPI
Mary Riley, LMT
- Massage Therapist
- Las Vegas, NV
National Provider Identifier
1487243085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10288
- Practice address
- 284 Soggy Ruff Way
Las Vegas, NV 89148-5217 - Phone
- (216) 816-1210
- NPI assigned
- Jan 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 33.017651 | OH | |
| Massage Therapist | 225700000X | 10288 | NV | Primary |
Addresses
Primary practice location
284 Soggy Ruff Way
Las Vegas, NV 89148-5217
Mailing address
284 Soggy Ruff Way
Las Vegas, NV 89148-5217
Phone (216) 816-1210
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10288 | NV | MD | Orthopaedic Hand Surgery Physician |
| 33.017651 | OH | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1487243085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 SOGGY RUFF WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891485217",
"telephone_number": "216-816-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 SOGGY RUFF WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891485217",
"telephone_number": "216-816-1210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "MARY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-18",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.017651",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NV",
"license": "10288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.