Shannon Riley, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

517 S 4TH St
Philadelphia, PA 19147-1569

Phone

(215) 629-1270

Fax

(215) 629-1293

NPI assigned

Apr 7, 2018

Last updated

Apr 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Progress Physical Therapy LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1164851085

  Orthopedic

  Medicare reassignment NPD
• Orthopedic and Sports Physical Therapy Services, Inc.

  dba Excel Physical Therapy

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1588661235
  Medicare reassignment
• Ivyrehab Network, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Cranford, NJ
  • NPI 1699590265

  Orthopedic

  NPD

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

{
    "created_epoch": "1523059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523059200000",
    "number": "1508363508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W GERMANTOWN PIKE STE 100",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621420",
            "telephone_number": "610-270-0370",
            "fax_number": "610-270-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 S 4TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471569",
            "telephone_number": "215-629-1270",
            "fax_number": "215-629-1293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 Old Cuthbert Rd",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080341414",
            "country_code": "US",
            "telephone_number": "856-428-4030",
            "fax_number": "856-428-1093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "SHANNON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-07",
        "last_updated": "2018-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ellen Riley, MD
• Rachael Riley
• Samantha Jane Riley, DC
• Sarah Riley, RD
• Sarah Christy Riley, MSS, LSW
• Thomas Roberts Riley IV, MD
• William Edwrard Riley
• Jeeyon Grace Rim
• Kathryn Rim, LCSW
• Rola Rimawi, MD

• Orthopedic Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Orthopedic Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.