Individual provider Active NPI

Colleen O'Riley, P.T.

  • Physical Therapist
  • West Lake Hills, TX
National Provider Identifier
1548216526
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1172833 Issued in TX
Practice address
4407 Bee Cave Rd
BLDG 2, Ste 211
West Lake Hills, TX 78746-6405
Phone
(512) 330-0961
Fax
(512) 330-0962
NPI assigned
May 25, 2006
Last updated
Feb 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1172833 TX Primary
Physical Therapist 225100000X IL

Addresses

Primary practice location

4407 Bee Cave Rd
BLDG 2, Ste 211
West Lake Hills, TX 78746-6405

Mailing address

9516 Argyle Dr
Austin, TX 78749-5210
Phone (512) 288-4043

Other identifiers 1

IdentifierTypeStateIssuer
11524754OtherILCAQH PROVIDER ID

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

LicenseStateTypeSpecialty
070011849ILMDPhysical Therapist
1172833TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1548216526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9516 ARGYLE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787495210",
            "telephone_number": "512-288-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVE RD",
            "address_2": "BLDG 2, STE 211",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466405",
            "telephone_number": "512-330-0961",
            "fax_number": "512-330-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'RILEY",
        "first_name": "COLLEEN",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1172833",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11524754",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 11, 2008; 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.