Individual provider Active NPI

William Riskie

  • Occupational Therapist
  • Wilmington, DE
National Provider Identifier
1922725423
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
U1-0012442 Issued in DE
Practice address
3567 Silverside Road
Wilmington, DE 19810
Phone
(302) 453-1588
NPI assigned
Oct 25, 2022
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU
Occupational Therapist 225X00000X U1-0012442 DE Primary

Addresses

Primary practice location

3567 Silverside Road
Wilmington, DE 19810

Mailing address

17 Aviary Rd
West Deptford, NJ 08086-3837
Phone (856) 426-6869

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230201001480 DE Practitioner - Occupational Therapist in Private Practice 3971974841 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
U1-0012442DEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Hen Physical Therapy, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Physiotherapy Associates, Inc. CurrentSince Oct 31, 2022 Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 31, 2022 Accepting new patients
Physiotherapy Associates, Inc. Current Accepting new patients
Blue Hen Physical Therapy, Inc. PastSince Oct 1, 2022 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

425 New London Rd
Newark, DE 19711
Phone (302) 453-1588

2401 Pennsylvania Ave
Ste 111
Wilmington, DE 19806
Phone (302) 655-5877

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1922725423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 AVIARY RD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080863837",
            "telephone_number": "856-426-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3567 SILVERSIDE ROAD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19810",
            "telephone_number": "302-453-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISKIE",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-25",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "U1-0012442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.