Active NPI
Treneikeia Nelshandrea Riley
- Developmental Therapist
- Downers Grove, IL
National Provider Identifier
1760234413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 4945 Douglas Rd
Downers Grove, IL 60515-3825 - Phone
- (630) 426-9386
- Fax
- (773) 523-3222
- NPI assigned
- Apr 4, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
4945 Douglas Rd
Downers Grove, IL 60515-3825
Mailing address
1551 W 90TH St # 3W
Chicago, IL 60620-5165
Phone (773) 458-3151
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1760234413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 W 90TH ST # 3W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606205165",
"telephone_number": "773-458-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4945 DOUGLAS RD",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605153825",
"telephone_number": "630-426-9386",
"fax_number": "773-523-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "TRENEIKEIA",
"middle_name": "NELSHANDREA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-04",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.