MEDICARE: DR. SAMANTHA JANE RILEY DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC012075	PA

General Provider Information

NPI Number	:	1275409427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMANTHA JANE RILEY DC

Provider Business Mailing Address
First Line	:	11806 MILLBROOK RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19154-3711
Country	:	US
Telephone Number	:	602-697-2548
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 GRANT AVE STE 20
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-2632
Country	:	US
Telephone Number	:	888-245-8488
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2025
Last Update Date	:	10/15/2025

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Directions to “ DR. SAMANTHA JANE RILEY DC” Practice Location

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