Individual provider Active NPI

Riley Joy Luetkenhaus, PT, DPT

  • Physical Therapist
  • Benbrook, TX
National Provider Identifier
1861283400
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1406706 Issued in TX
Practice address
6483 Southwest Blvd
Benbrook, TX 76132-2777
Phone
(682) 224-2550
Fax
(682) 224-3212
NPI assigned
May 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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 1406706 TX Primary

Addresses

Primary practice location

6483 Southwest Blvd
Benbrook, TX 76132-2777

Mailing address

PO Box 781
Midlothian, TX 76065-0781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250522000779 TX Practitioner - Physical Therapist in Private Practice 4385163450 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Physical Therapy, LLCGroup PAC ID 0648583344, 95 clinicians
Mind Body Balance Physical Therapy PLLCGroup PAC ID 1052854536, 3 clinicians

Practice addresses (Care Compare)

5750 W Vickery Blvd
Suite 110
Fort Worth, TX 76107-7448
Phone (682) 382-4070

6483 Southwest Blvd
Benbrook, TX 76132-2777
Phone (682) 224-2550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc Physical Therapist CurrentSince May 9, 2025 Accepting new patients
Mind Body Balance Physical Therapy PLLC Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince May 9, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince May 9, 2025 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince May 9, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

6483 Southwest Blvd
Benbrook, TX 76132
Phone (682) 224-2550

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

5250 N Tarrant Pkwy
Ste 132
Fort Worth, TX 76137
Phone (682) 900-4026

5729 Lebanon Rd
Ste 120
Frisco, TX 75034
Phone (469) 731-4888

5750 W Vickery Blvd
Ste 110
Ft Worth, TX 76107
Phone (682) 382-4070

10100 Katy Fwy
Ste 170
Houston, TX 77043
Phone (832) 795-9175

2735 Town Center Blvd N
Ste N
Sugar Land, TX 77479
Phone (281) 728-7734

5601 Brodie Ln
Sunset Valley, TX 78745
Phone (512) 580-3055

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1861283400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760650781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6483 SOUTHWEST BLVD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761322777",
            "telephone_number": "682-224-2550",
            "fax_number": "682-224-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUETKENHAUS",
        "first_name": "RILEY",
        "middle_name": "JOY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1406706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benbrook, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.