Individual provider Active NPI

John Wesley Riley, L.M.T., M.T.I.

  • Massage Therapist
  • West Lake Hills, TX
National Provider Identifier
1487862736
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT003331 Issued in TX
Practice address
4407 Bee Cave Rd
Suite 513
West Lake Hills, TX 78746-6405
Phone
(512) 732-0037
Fax
(512) 328-3228
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MT003331 TX Primary

Addresses

Primary practice location

4407 Bee Cave Rd
Suite 513
West Lake Hills, TX 78746-6405

Mailing address

4407 Bee Cave Rd
Suite 513
West Lake Hills, TX 78746-6405
Phone (512) 732-0037

Other names 1

  • Mr. Jonathan Riley Professional name

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
MT003331TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487862736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVE RD",
            "address_2": "SUITE 513",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466405",
            "telephone_number": "512-732-0037",
            "fax_number": "512-328-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVE RD",
            "address_2": "SUITE 513",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466405",
            "telephone_number": "512-732-0037",
            "fax_number": "512-328-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JOHN",
        "middle_name": "WESLEY",
        "name_prefix": "Mr.",
        "credential": "L.M.T., M.T.I.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT003331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONATHAN",
            "last_name": "RILEY",
            "prefix": "MR.",
            "credential": "L.M.T., M.T.I.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.