Riley Therapy, PA

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RILEY THERAPY, PA

Practice address

17 Toy St
Greenville, SC 29601-3122

Phone

(859) 539-3999

NPI assigned

Jun 10, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Johanna Brandon Bertino, RD, LD

Title

Dietitian

Phone

(859) 539-3999

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1548673270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 TOY ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29601",
            "telephone_number": "859-539-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 TOY ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013122",
            "telephone_number": "859-539-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RILEY THERAPY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "BERTINO",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "859-539-3999",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Blaire Rigney, OTR/L
• Riley Affordable Home Health Care Services
• Riley Center for Eating Disorders, LLC
• Riley Center for Eating Disorders, LLC
• Riley Therapy PA
• Allison Praktish Riley, M.D.
• Erin Riley
• Judy A. Riley, FNP
• Kathryn Riley
• Logan Layne Riley

• Mental Health Clinic/Center (Including Community Mental Health Center) in Greenville, SC
• Providers in Greenville, SC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.