Healthcare Provider Details

I. General information

NPI: 1831024371
Provider Name (Legal Business Name): RILEY DONAHOE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 CORNHUSKER RD STE 207
BELLEVUE NE
68005-7918
US

IV. Provider business mailing address

PO BOX 34669
OMAHA NE
68134-0669
US

V. Phone/Fax

Practice location:
  • Phone: 402-614-4300
  • Fax: 402-614-5211
Mailing address:
  • Phone: 402-932-6791
  • Fax: 402-614-7835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4976
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: