Healthcare Provider Details

I. General information

NPI: 1508249632
Provider Name (Legal Business Name): SPOT ON THERAPY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2015
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4840 WALLER RD STE 200
RICHMOND VA
23230-2912
US

IV. Provider business mailing address

1627 INDIAN PIPE CT
POWHATAN VA
23139-7044
US

V. Phone/Fax

Practice location:
  • Phone: 804-893-5010
  • Fax: 804-412-8205
Mailing address:
  • Phone: 804-893-5010
  • Fax: 804-412-8105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202001786
License Number StateVA

VIII. Authorized Official

Name: LISA STERMER RILEY
Title or Position: OWNER
Credential: MED CCC-SLP
Phone: 804-893-5010