Active NPI
Spiridoula J. Riley, PT, DPT, ATC, MSAT
- Physical Therapist
- Somerset, NJ
National Provider Identifier
1669004172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01171600
- Practice address
- 78 Bayberry Dr
Somerset, NJ 08873-4208 - Phone
- (845) 863-5310
- NPI assigned
- Feb 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 25MT00128300 | NJ | |
| Physical Therapist | 225100000X | 40QA01171600 | NJ | Primary |
Addresses
Primary practice location
78 Bayberry Dr
Somerset, NJ 08873-4208
Mailing address
78 Bayberry Dr
Somerset, NJ 08873-4208
Phone (845) 863-5310
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01171600 | NJ | MD | Physical Therapist |
| 25MT00128300 | NJ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1669004172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 BAYBERRY DR",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088734208",
"telephone_number": "845-863-5310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 BAYBERRY DR",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088734208",
"telephone_number": "845-863-5310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "SPIRIDOULA",
"middle_name": "J.",
"credential": "PT, DPT, ATC, MSAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-12",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "25MT00128300",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01171600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.