Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaitlin Riley, PTA

Individual provider Physical Therapy Assistant · NPI 1104400290

Kaitlin Riley, PTA is a Physical Therapy Assistant in Shelbyville, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1111 W North 12th St
Shelbyville, IL 62565-9554
Phone: (217) 774-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X (IL)

Record details

NPI number1104400290
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 6, 2021
Last updated in NPPESMay 6, 2021
Certification dateMay 6, 2021
Mailing address4560 Se International Way Ste 100, Milwaukie, OR 97222-4628

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