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

Mr. Jason Riley, MPT, ATC, LAT, CKTP

Individual provider Physical Therapist · NPI 1861444200

Mr. Jason Riley, MPT, ATC, LAT, CKTP is a Physical Medicine and Rehabilitation in Shreveport, Louisiana. Graduated from University of South Alabama College of Medicine in 2001, 25 years ago. Works from 2 locations. Licensed in Louisiana.

Years since qualifying
25
Trained at
University of South Alabama College of Medicine
Licensed in
LA
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

650 Olive St
Shreveport, LA 71104
Phone: (318) 302-6000
Fax: (318) 302-6001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 161 Christian Dr, Rayville, LA 71269-3658 — (318) 728-3665

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 0556R (LA)

Record details

NPI number1861444200
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT , ATC , LAT , CKTP
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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