MEDICARE: KAYLA RILEY

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	225100000X	Physical Therapist	PT44416	FL

General Provider Information

NPI Number	:	1558213447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA RILEY

Provider Business Mailing Address
First Line	:	14004 ROOSEVELT BLVD STE 613
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33762-3819
Country	:	US
Telephone Number	:	727-475-5540
Fax Number	:

Provider Business Practice Location Address
First Line	:	5535 CYPRESS GARDENS BLVD STE 260
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33884-2241
Country	:	US
Telephone Number	:	863-877-0605
Fax Number	:

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

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “ KAYLA RILEY ” Practice Location

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