Jason Riley, MPT, ATC, LAT, CKTP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0556R Issued in LA

Practice address

650 Olive St
Shreveport, LA 71104

Phone

(318) 302-6000

Fax

(318) 302-6001

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, TX2 enrollments

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physical Medicine and Rehabilitation

Education

University of South Alabama College of Medicine, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Riley Physical Therapy, Inc

  • Physical Therapist
  • Shreveport, LA
  • NPI 1356814826

  TX

  Medicare reassignment NPD Authorized official
• Acadiana Physical Therapy, Inc.

  • Physical Therapist
  • Lafayette, LA
  • NPI 1730139858
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1861444200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 WINKLER WAY",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712036527",
            "telephone_number": "318-537-4376",
            "fax_number": "318-302-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 OLIVE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71104",
            "telephone_number": "318-302-6000",
            "fax_number": "318-302-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Christian Dr",
            "address_purpose": "LOCATION",
            "city": "Rayville",
            "state": "LA",
            "postal_code": "712693658",
            "country_code": "US",
            "telephone_number": "318-728-3665",
            "fax_number": "318-728-3625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "MPT, ATC, LAT, CKTP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "0556R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alescia Riggs
• Marie Riggs
• Right Turn, LLC
• Riley Physical Therapy, Inc
• Dicy Riley
• Tonya McBroom Riley, LPC-S
• Troquel Riley
• Adam Zachary Rinaudo
• Amy L Rinder, OTR/CHT
• Theresa L Rinderle, MD

• Physical Therapist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.