Individual provider Active NPI

Kambri Sharyle Riley

  • Physical Therapist
  • Leander, TX
National Provider Identifier
1962199430
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
15609 Ronald W Reagan Blvd BLDG A130
Leander, TX 78641-1472
Phone
(512) 986-4468
NPI assigned
Apr 24, 2023
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

15609 Ronald W Reagan Blvd BLDG A130
Leander, TX 78641-1472

Mailing address

401 Westinghouse Rd Apt 2304
Georgetown, TX 78626-5518

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231018003659 TX Practitioner - Physical Therapist in Private Practice 1355796822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Austin Physical Therapy LLCGroup PAC ID 2961833298, 11 clinicians

Practice addresses (Care Compare)

15609 Ronald W Reagan Blvd
BLDG A130
Leander, TX 78641-1472
Phone (512) 971-9445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Austin Physical Therapy, LLC Physical Therapist CurrentSince Aug 7, 2023 Accepting new patients

Locations

12151 W Parmer Ln
#B201
Cedar Park, TX 78613
Phone (512) 986-4468

15609 Ronald W Reagan Blvd
Bldg A130
Leander, TX 78641
Phone (512) 971-9445

Organizations & group practices 1

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": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1962199430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WESTINGHOUSE RD APT 2304",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15609 RONALD W REAGAN BLVD BLDG A130",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786411472",
            "telephone_number": "512-986-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "KAMBRI",
        "middle_name": "SHARYLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.