MRS. KELLY ANN RILEY DPT
NPI 1104974534
Physical Therapist - Pediatrics in Wilmington, NC

NPI Status: Active since January 08, 2007

Contact Information

1409 AUDUBON BLVD STE B4
WILMINGTON, NC
ZIP 28403
Phone: (910) 392-2240
Fax: (910) 392-2242

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  • Individual
  • Female
  • Physical Therapist
  • Pediatrics

About KELLY RILEY

This page provides the complete NPI Profile along with additional information for Kelly Riley, a provider established in Wilmington, North Carolina with a medical specialization in Physical Therapist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1104974534 assigned on January 2007. The practitioner's primary taxonomy code is 2251P0200X with license number 10422 (NC). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1104974534
Provider Name
MRS. KELLY ANN RILEY DPT
Gender
Female
Entity Type
Individual
Location Address
1409 AUDUBON BLVD STE B4 WILMINGTON, NC 28403
Location Phone
(910) 392-2240
Location Fax
(910) 392-2242
Mailing Address
1409 AUDUBON BLVD WILMINGTON, NC 28403
Mailing Phone
(910) 392-2240
Mailing Fax
(910) 392-2242
Is Sole Proprietor?
No
Enumeration Date
01-08-2007
Last Update Date
10-27-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist Pediatrics

Taxonomy Code
2251P0200X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
10422
License State
NC
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

10422 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7211961MEDICAID (05)NC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104974534
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104187856
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 8 + 7 + 8 + 5 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1104974534 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982487559 KELLY HELMS HARWOOD PTA
Individual
Physical Therapy Assistant1409 AUDUBON BLVD STE B4
WILMINGTON, NC 28403
(910) 392-2240

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104974534, enumerated in the NPI registry as an "individual" on January 08, 2007

The provider is located at 1409 Audubon Blvd Ste B4 Wilmington, Nc 28403 and the phone number is (910) 392-2240

The provider's speciality is Physical Therapist with taxonomy code 2251P0200X with a focus in Pediatrics

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 08, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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