Provider Demographics
NPI:1174412639
Name:RIKER, DOREIBY (COTA)
Entity type:Individual
Prefix:
First Name:DOREIBY
Middle Name:
Last Name:RIKER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10217 NAPA VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-8082
Mailing Address - Country:US
Mailing Address - Phone:561-985-8009
Mailing Address - Fax:
Practice Address - Street 1:6833 COIT RD STE 104A
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5400
Practice Address - Country:US
Practice Address - Phone:561-985-8009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX218526225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor