Individual provider Active NPI

Jane W Riley, PT DPT MS PCS

  • Physical Therapist
  • Rye, NY
National Provider Identifier
1881846970
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018597 Issued in NY
Practice address
1085 Boston Post Rd Apt 8
Rye, NY 10580-2963
Phone
(914) 374-5786
Fax
(914) 395-1923
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 018597 NY
Physical Therapist 225100000X 018597 NY Primary

Addresses

Primary practice location

1085 Boston Post Rd Apt 8
Rye, NY 10580-2963

Mailing address

1085 Boston Post Rd Apt 8
Rye, NY 10580-2963
Phone (914) 374-5786

Other identifiers 1

IdentifierTypeStateIssuer
02810497MedicaidNY

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1881846970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 BOSTON POST RD APT 8",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802963",
            "telephone_number": "914-374-5786",
            "fax_number": "914-880-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 BOSTON POST RD APT 8",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802963",
            "telephone_number": "914-374-5786",
            "fax_number": "914-395-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JANE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PT DPT MS PCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "018597",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02810497",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.