REGINA MARIE RILEY


Address: 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116
Phone: 6013624471

REGINA MARIE RILEY (NPI# 1881291383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881291383
Entity Type Individual
Full Name REGINA MARIE RILEY
Credential CTRS, CDP
Practice Address 1500 E Woodrow Wilson Ave
Jackson
MS 39216-5116
Mailing Address 113 King Collier Rd
Brandon
MS 39042-9397
Practice Telephone 6013624471
Mailing Telephone 7697985017
Enumeration Date 2020-10-07
Last Update Date 2020-10-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225800000X Recreation Therapist 62084 MS Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1500 E WOODROW WILSON AVE
City JACKSON
State MS
Zip Code 39216-5116

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740264035 Sadeka Tamanna Internal Medicine 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2005-12-01
1811502024 Wendy Hopkins Registered Nurse 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-09-14
1528679420 Christopher Michael Mcguffey Physical Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-08-13
1124637319 Kathryn Martin Lewis Registered Nurse 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-24
1932727468 Davis Mckenna Simms Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-10
1154948222 Tiffany Floyd Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-06
1962029389 Devonda Y Elliott Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-01
1629693759 Latorya Lashay Smith Dietitian, Registered 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-06-15
1932721669 Aubrey Cain Young Pharmacist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-05-15
1225659865 Emily Hope Dixon Pharmacist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-05-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
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Taxonomy Information

Taxonomy Code 225800000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Recreation Therapist

Taxonomy Definition

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952896672 Cheyenne Tayler Bolenbaugh Recreation Therapist 7537 Lee Rd Apt B, Jackson, MI 49201-8152 2018-06-25
1386828853 Kelli M Jones Recreation Therapist 1230 Angus Drive, Jackson, WY 83001 2007-12-20
1932727468 Davis Mckenna Simms Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-10
1154948222 Tiffany Floyd Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-06
1962029389 Devonda Y Elliott Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2020-07-01
1427599018 Mark Marble Recreation Therapist 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 2017-03-15
1720469711 Shalonda Knight Recreation Therapist 6204 N State St, Jackson, MS 39213-9731 2015-06-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588192165 Leslie Michelle White Recreation Therapist 374 Ginger Dr, Diberville, MS 39540-3746 2017-05-26
1750741831 Kaitlin Kara Mcdowell Hermes Recreation Therapist 730 E Beach Blvd # 5128, Long Beach, MS 39560-6259 2016-03-02
1528149226 Laura T. Throop Recreation Therapist 2106 Boardman Blvd, Gulfport, MS 39507-2727 2006-10-18
1043229925 Christopher Gable Recreation Therapist 16009 Cherry Dr, Biloxi, MS 39532-3937 2006-08-07
1114936150 Danny Skrnich Recreation Therapist 704 Sharon Hills Dr, Biloxi, MS 39532-4360 2006-08-07
1780691188 Lyla Brooke James Recreation Therapist 400 Veterans Ave # 135, Biloxi, MS 39531-2410 2006-08-01
1801494109 Destin Parsley Recreation Therapist 400 Veterans Ave, Biloxi, MS 39531-2410 2020-10-09
1821655028 Barbara Ayn Hakanson Recreation Therapist 400 Veterans Ave, Biloxi, MS 39531-2410 2019-05-22
1427615962 Lara Herrin-schaubhut Recreation Therapist 400 Veterans Avenue, Bldg. 15 2b 116, Biloxi, MS 39531 2019-05-21
1740846674 Kaitlin Borri Recreation Therapist 400 Veterans Ave, Biloxi, MS 39531-2410 2019-05-16
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Competitor

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City JACKSON
Zip Code 39216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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