Active NPI
Richella Riley, DPT
- Physical Therapist
- Lake Stevens, WA
National Provider Identifier
1609329259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60657609
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT60657609 | WA | MD | Physical 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.