Electra Riley, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PT52766 Issued in CA

Practice address

935 W San Marcos Blvd Ste 102
San Marcos, CA 92078-1142

Phone

(760) 471-2440

Fax

(760) 471-2442

NPI assigned

Aug 24, 2023

Last updated

Aug 24, 2023By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1912781352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 MADISON ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082310",
            "telephone_number": "760-591-7750",
            "fax_number": "760-471-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 W SAN MARCOS BLVD STE 102",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781142",
            "telephone_number": "760-471-2440",
            "fax_number": "760-471-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "ELECTRA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PT52766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlin Dale Jayme Richey, CADCII, ICADC
• Cheryl Lee Ricketts-Mulvey, D.C.
• Jamie Ridgeway
• Deanna Janette Riedesel
• Margaret Riley-Hagan, M.D.
• Adriana Rios, PPS
• Faith Risinger
• Toni A Risley, PT
• Matthew Francis Ritchie
• Kelly Rivadeneyra, MSW, LCSW

• Physical Therapy Assistant in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.

Verify at the official NPI Registry.