Active NPI
Jenna Leigh Riley, PT, DPT
- Physical Therapist
- Monterey, CA
National Provider Identifier
1497438600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 304526
- Practice address
- 929 Pacific St
Monterey, CA 93940-4447 - Phone
- (831) 373-1209
- NPI assigned
- Aug 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 304526 | CA | Primary |
Addresses
Primary practice location
929 Pacific St
Monterey, CA 93940-4447
Mailing address
18410 McClellan Cir
East Garrison, CA 93933-4967
Other practice location 1
20 Ohlone Pkwy Ste D
Watsonville, CA 95076-3767
Phone (831) 724-8235
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
| License | State | Type | Specialty |
|---|---|---|---|
| 304526 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dewitt Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Santa Cruz, CA
- NPI 1902198765
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1497438600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18410 MCCLELLAN CIR",
"city": "EAST GARRISON",
"state": "CA",
"postal_code": "939334967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 PACIFIC ST",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939404447",
"telephone_number": "831-373-1209"
}
],
"practiceLocations": [
{
"address_1": "20 Ohlone Pkwy Ste D",
"address_purpose": "LOCATION",
"city": "Watsonville",
"state": "CA",
"postal_code": "950763767",
"country_code": "US",
"telephone_number": "831-724-8235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RILEY",
"first_name": "JENNA",
"middle_name": "LEIGH",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "304526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.