Individual provider Active NPI

Michael Shawn Reiling, PT, MS, ATC, CSCS

  • Physical Therapist
  • Marion, IA
National Provider Identifier
1164523544
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03220 Issued in IA
Practice address
999 44TH St
Suite 10,000
Marion, IA 52302-3846
Phone
(319) 373-7311
Fax
(319) 373-7313
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 00407 IA
Physical Therapist 225100000X 03220 IA Primary

Addresses

Primary practice location

999 44TH St
Suite 10,000
Marion, IA 52302-3846

Mailing address

999 44TH St
Suite 10,000
Marion, IA 52302-3846
Phone (319) 373-7311

Other identifiers 2

IdentifierTypeStateIssuer
24147OtherIABCBS
0231142MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111028000212 IA Practitioner - Physical Therapist in Private Practice 5991883431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Physical Therapy PCGroup PAC ID 1153313986, 13 clinicians

Practice addresses (Care Compare)

999 44TH St
Suite 10000
Marion, IA 52302-3833
Phone (319) 373-7311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
03220IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ability Physical Therapy, P.C. Physical Therapist CurrentSince Mar 10, 2001 Accepting new patients

Locations

4215 Lewis Access Rd
Ste 300
Center Point, IA 52213
Phone (319) 849-2062

999 44th St
Ste 10000
Marion, IA 52302
Phone (319) 373-7311

300 Virgil Ave
Ste C
Mount Vernon, IA 52314
Phone (319) 895-8655

300 Virgil Ave
Mount Vernon, IA 52314
Phone (319) 865-8655

411 Haganman Ln
Unit D
Solon, IA 52333
Phone (319) 624-1250

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1164523544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 44TH ST",
            "address_2": "SUITE 10,000",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023846",
            "telephone_number": "319-373-7311",
            "fax_number": "319-373-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 44TH ST",
            "address_2": "SUITE 10,000",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023846",
            "telephone_number": "319-373-7311",
            "fax_number": "319-373-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILING",
        "first_name": "MICHAEL",
        "middle_name": "SHAWN",
        "name_prefix": "Mr.",
        "credential": "PT, MS, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "00407",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "24147",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0231142",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.