Individual provider Active NPI

Jenae Marie Riehlman, MPT

  • Physical Therapist
  • Indio, CA
National Provider Identifier
1659712651
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40191 Issued in CA
Practice address
81557 Doctor Carreon Blvd
Suite C8
Indio, CA 92201-5517
Phone
(760) 775-5511
Fax
(760) 775-5521
NPI assigned
Jul 8, 2013
Last updated
Jul 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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 PT40191 CA Primary

Addresses

Primary practice location

81557 Doctor Carreon Blvd
Suite C8
Indio, CA 92201-5517

Mailing address

555 E Tachevah Dr
BLDG 1 E Suite 201
Palm Springs, CA 92262-5750
Phone (760) 778-7150

Other identifiers 1

IdentifierTypeStateIssuer
PT40191OtherCAPT LICENSE

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
40191CAMDPharmacist
PT40191CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forgeron Physical Therapy Physical Therapist Past Accepting new patients
Forgeron Physical Therapy Physical Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1659712651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR",
            "address_2": "BLDG 1 E SUITE 201",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625750",
            "telephone_number": "760-778-7150",
            "fax_number": "760-778-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81557 DOCTOR CARREON BLVD",
            "address_2": "SUITE C8",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015517",
            "telephone_number": "760-775-5511",
            "fax_number": "760-775-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEHLMAN",
        "first_name": "JENAE",
        "middle_name": "MARIE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT40191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT40191",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.