Individual provider Active NPI

Patricia Loraine Rieger, PTA

  • Physical Therapy Assistant
  • Forest Grove, OR
National Provider Identifier
1881196111
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA.0014341 Issued in CO
Practice address
3838 Pacific Ave
Forest Grove, OR 97116-2224
Phone
(503) 357-1706
NPI assigned
Mar 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0949 WY
Physical Therapy Assistant 225200000X PTA.0014341 CO Primary

Addresses

Primary practice location

3838 Pacific Ave
Forest Grove, OR 97116-2224

Mailing address

5380 Suffolk Cir
Castle Rock, CO 80104-5402
Phone (317) 459-0060

Other practice location 1

1002 Forest Dr
Riverton, WY 82501-2918
Phone (307) 856-9471

Other practice location 2

11623 Arbor St
Omaha, NE 68144-2981
Phone (402) 334-6070

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

LicenseStateTypeSpecialty
PTA.0014341COMDPhysical Therapy Assistant
0949WYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1881196111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 SUFFOLK CIR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801045402",
            "telephone_number": "317-459-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 PACIFIC AVE",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162224",
            "telephone_number": "503-357-1706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 Forest Dr",
            "address_purpose": "LOCATION",
            "city": "Riverton",
            "state": "WY",
            "postal_code": "825012918",
            "country_code": "US",
            "telephone_number": "307-856-9471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11623 Arbor St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681442981",
            "country_code": "US",
            "telephone_number": "402-334-6070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIEGER",
        "first_name": "PATRICIA",
        "middle_name": "LORAINE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WY",
            "license": "0949",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA.0014341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Grove, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.