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

Active since January 08, 2007
1409 AUDUBON BLVD STE B4, WILMINGTON, NC 28403(910) 392-2240(910) 392-2242 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Ann Riley Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLY ANN RILEY DPT (NPI 1104974534) is an individual pediatrics provider in Wilmington, North Carolina, licensed in North Carolina (10422) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1104974534
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMRS. KELLY ANN RILEYCredential: DPT
Location Address1409 AUDUBON BLVD STE B4Wilmington, NC 28403-6753
Mailing Address1409 Audubon BlvdWilmington, NC 28403-6749 · (910) 392-2240 · Fax (910) 392-2242
Fax(910) 392-2242
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateOctober 27, 2023
NPPES CertifiedOctober 27, 2023
NPI 1104974534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in NC · 10422
Definition
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.
Also ListedPhysical TherapistTaxonomy 225100000X · License 10422 (NC)
1409 AUDUBON BLVD STE B4, Wilmington, NC 28403

Other Identifiers 1

Medicaid7211961NC

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
1409 AUDUBON BLVD STE B4
WILMINGTON, NC 28403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Riley's NPI number?

The NPI number for Kelly Riley is 1104974534. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Kelly Riley located?

Kelly Riley practices at 1409 Audubon Blvd Ste B4, Wilmington, NC 28403. The listed phone number is (910) 392-2240.

What is Kelly Riley's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

What insurance does Kelly Riley accept?

Health plans from Blue Cross and Blue Shield of NC list Kelly Riley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Riley was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.