MS. RILEY SIMONS (DPT) – Physical Therapist, NPI 1093476152

MS. RILEY SIMONS (DPT) is a healthcare provider. based in San luis obispo, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 0020773 (CO). The NPI Number for MS. RILEY SIMONS (DPT) is 1093476152

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MS. RILEY SIMONS (DPT)
NPI
1093476152
Phone
(805) 788-0805
Address
1106 WALNUT ST STE 110
Enumeration Date
31 December 2021
Last Update Date
29 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177189300
Graduation Year
2021 (5 years ago)
PAC ID
4284026683
Group Practice PAC ID
4688821101
Professional Enrollment ID
I20230530002464
Address ID
MA021431650SO149XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

2,785 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AZ

Provider Addresses for MS. RILEY SIMONS (DPT)

  • 1106 WALNUT ST STE 110

    SAN LUIS OBISPO, CA 934012416

    Phone: (805) 788-0805

    Fax: (805) 788-0845

    Type: Mailing

  • 12460 N RANCHO VISTOSO BLVD STE 140

    ORO VALLEY, AZ 857551989

    Phone: (520) 615-6573

    Fax: (520) 575-7014

    Type: Location

  • 420 E 120TH AVE STE B8

    NORTHGLENN, CO 802331100

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230530002464IPhysical Therapist In Private PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities52991$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes44788$0
97016Application of blood vessel compression device12442$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes8426$0
97140Therapy procedure using manual technique, each 15 minutes6624$0
View full utilization report →

Insurance plans in this area (ZIP 93401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688821101View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Medicine And RehabilitationMD
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

Is MS. RILEY SIMONS (DPT) listed with a National Provider Identifier?
Yes — MS. RILEY SIMONS (DPT) has NPI 1093476152 on file in the registry.
Is there an active status for MS. RILEY SIMONS (DPT)?
For scheduling context, MS. RILEY SIMONS (DPT) is shown as active in the registry.
What clinical focus is listed for MS. RILEY SIMONS (DPT)?
At a glance, MS. RILEY SIMONS (DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. RILEY SIMONS (DPT)?
Travel planning: use San Luis Obispo, California as the reference point for MS. RILEY SIMONS (DPT), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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