Active NPI
Shiela Ann Riley
- Occupational Therapist
- Millboro, VA
National Provider Identifier
1811686397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119000176
- Practice address
- 411 Church St
Millboro, VA 24460-2132 - Phone
- (540) 997-5452
- Fax
- (540) 997-0123
- NPI assigned
- May 2, 2023
- Last updated
- May 2, 2023
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119000176 | VA | Primary |
Addresses
Primary practice location
411 Church St
Millboro, VA 24460-2132
Mailing address
411 Church St
Millboro, VA 24460-2132
Phone (540) 997-5452
Other practice location 1
12145 Sam Snead Hwy
Warm Springs, VA 24484-0001
Phone (540) 839-2722
Other practice location 2
98 Panther Dr
Hot Springs, VA 24445-2672
Phone (540) 839-5395
Other practice location 3
464 Charger Ln
Hot Springs, VA 24445-2812
Phone (243) 154-0839
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 |
|---|---|---|---|
| 0119000176 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bath County Public Schools | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Warm Springs, VA
- NPI 1700069739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1811686397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 CHURCH ST",
"city": "MILLBORO",
"state": "VA",
"postal_code": "244602132",
"telephone_number": "540-997-5452",
"fax_number": "540-997-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 CHURCH ST",
"city": "MILLBORO",
"state": "VA",
"postal_code": "244602132",
"telephone_number": "540-997-5452",
"fax_number": "540-997-0123"
}
],
"practiceLocations": [
{
"address_1": "12145 Sam Snead Hwy",
"address_purpose": "LOCATION",
"city": "Warm Springs",
"state": "VA",
"postal_code": "244840001",
"country_code": "US",
"telephone_number": "540-839-2722",
"fax_number": "540-839-3040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "98 Panther Dr",
"address_purpose": "LOCATION",
"city": "Hot Springs",
"state": "VA",
"postal_code": "244452672",
"country_code": "US",
"telephone_number": "540-839-5395",
"fax_number": "540-839-5392",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "464 Charger Ln",
"address_purpose": "LOCATION",
"city": "Hot Springs",
"state": "VA",
"postal_code": "244452812",
"country_code": "US",
"telephone_number": "243-154-0839",
"fax_number": "540-839-3290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RILEY",
"first_name": "SHIELA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-02",
"last_updated": "2023-05-02",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119000176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millboro, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.