Individual provider Active NPI

Richella Riley, DPT

  • Physical Therapist
  • Lake Stevens, WA
National Provider Identifier
1609329259
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60657609 Issued in WA
Practice address
1819 S Lake Stevens Rd Unit E
Lake Stevens, WA 98258-2060
Phone
(425) 334-1122
Fax
(425) 334-1188
NPI assigned
Aug 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60657609 WA Primary

Addresses

Primary practice location

1819 S Lake Stevens Rd Unit E
Lake Stevens, WA 98258-2060

Mailing address

1819 S Lake Stevens Rd Unit E
Lake Stevens, WA 98258-2060
Phone (425) 334-1122

Other practice location 1

9516 State Ave
Ste B
Marysville, WA 98270-2277
Phone (360) 658-8857

Other practice location 2

13315 68th Pl NE
Kirkland, WA 98034-1650
Phone (877) 390-6659

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
PT60657609WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1609329259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 S LAKE STEVENS RD UNIT E",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982582060",
            "telephone_number": "425-334-1122",
            "fax_number": "425-334-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 S LAKE STEVENS RD UNIT E",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982582060",
            "telephone_number": "425-334-1122",
            "fax_number": "425-334-1188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9516 State Ave",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982702277",
            "country_code": "US",
            "telephone_number": "360-658-8857",
            "fax_number": "360-659-8296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13315 68th Pl NE",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980341650",
            "country_code": "US",
            "telephone_number": "877-390-6659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "RICHELLA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60657609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.