Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENNEDI RILEY
NPI 1629894472
Physical Therapist in Randallstown, MD

Active since November 26, 2024Accepts Medicare Assignment
8511 LIBERTY RD STE BB, RANDALLSTOWN, MD 21133(443) 426-9100(410) 922-0679 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2026, Jun 24, 2025 (2 updates tracked since 2025).

About Kennedi Riley NPPES

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

KENNEDI RILEY (NPI 1629894472) is an individual physical therapist in Randallstown, Maryland, licensed in Maryland (30198) and active in the NPI registry since November 2024. She maintains a secondary practice location in Columbia and is a graduate of Other (2024).

NPPES Registry Identity

NPI1629894472
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameKENNEDI RILEY
Location Address8511 LIBERTY RD STE BBRandallstown, MD 21133-4837
Mailing Address2001 Butterfield Rd Ste 1600Downers Grove, IL 60515-1211 · (630) 296-2222
Fax(410) 922-0679
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 26, 2024
Last NPPES UpdateSeptember 30, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1629894472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MD · 30198
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
8511 LIBERTY RD STE BB, Randallstown, MD 21133

Secondary Practice Location 1

Location 110700 Charter Dr Ste 205Columbia, MD 21044-3687 · Phone (443) 997-2663

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kennedi Riley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961938881
PECOS Enrollment IDI20241216000399

Medicare Billing Reassignments

2

Medicare enrollment records show Kennedi Riley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
10751 FALLS RD STE 304
Lutherville Timonium, MD 21093
  • Reassigned Medicare billing, Maryland enrollment
  • 952 clinicians in this Medicare group
Physical Therapy
52 RISING SUN TOWN CTR
Rising Sun, MD 21911
  • Reassigned Medicare billing, Maryland enrollment
  • 336 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
87 services12 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
60 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Physical Therapist
8511 LIBERTY RD STE BB
RANDALLSTOWN, MD 21133
Physical Therapist
8511 LIBERTY RD STE BB
RANDALLSTOWN, MD 21133
Physical Therapist
8511 LIBERTY RD STE BB
RANDALLSTOWN, MD 21133
Physical Therapist
8511 LIBERTY RD STE BB
RANDALLSTOWN, MD 21133
Physical Therapist
8511 LIBERTY RD STE BB
RANDALLSTOWN, MD 21133

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 Kennedi Riley's NPI number?

The NPI number for Kennedi Riley is 1629894472. It was assigned to this individual provider in the NPPES registry on November 26, 2024.

Where is Kennedi Riley located?

Kennedi Riley practices at 8511 Liberty Rd Ste Bb, Randallstown, MD 21133. The listed phone number is (443) 426-9100.

What is Kennedi Riley's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kennedi Riley enrolled in Medicare?

Yes. Kennedi Riley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kennedi Riley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kennedi Riley reassigns Medicare benefits to 2 organizations: Johns Hopkins Community Physicians (Lutherville Timonium, MD) and Ati Holdings, LLC (Rising Sun, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kennedi Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kennedi Riley was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.