Micaela Epifanio Riley, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60980956 Issued in WA

Practice address

1455 NW Leary Way Ste 150
Seattle, WA 98107-5140

Phone

(206) 782-0218

NPI assigned

Nov 7, 2019

Last updated

Nov 7, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Uw Medicine Northwest Physicians

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1225458508
  NPD (past)

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1558906172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 NW LEARY WAY STE 150",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 NW LEARY WAY STE 150",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075140",
            "telephone_number": "206-782-0218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10330 Meridian Ave N",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981339451",
            "country_code": "US",
            "telephone_number": "206-368-6130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "MICAELA",
        "middle_name": "EPIFANIO",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60980956",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT60980956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Riley, LCSW LMP
• Heather Ann Freese Riley, LICSW
• Jim Riley
• Katherine Dillon Riley
• Kendall Riley
• Molly Jo Riley, PT
• Owen Riley, MSW, AAC, CDPT
• Patricia Riley, SUDP
• Rilling Family Chiropractic LLC (Dr. Morgan Rilling, DC)
• Margaret Mevady Rim

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.