Sean James Reilly, DPT, CSCS

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

PTL27773 Issued in MA

Practice address

1519 Central St Ste B
Stoughton, MA 02072-4415

Phone

(781) 728-9411

NPI assigned

Sep 5, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Sports IncGroup PAC ID 3072539337, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Elite Sports, Inc.

  • Physical Therapist
  • Stoughton, MA
  • NPI 1093811408

  Sports

  Medicare reassignment Care Compare group NPD
• Elite Health and Fitness

  • Physical Therapy Clinic/Center
  • Stoughton, MA
  • NPI 1184953390
  NPD (past)

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1184459554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 CENTRAL ST STE B",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 CENTRAL ST STE B",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724415",
            "telephone_number": "781-728-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "SEAN",
        "middle_name": "JAMES",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MA",
            "license": "PTL27773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen E Recupero, D.D.S.
• Theresa B Recupero, D.D.S.
• Regis College
• Abigail Regnier, PT, DPT
• Nicole Elizabeth Reid, PT, DPT
• Amanda Diane Reisbig
• Renz Counseling, LLC
• Tiesha Jessica Reyes-Flores
• Thomas Reynolds, DPT
• Montgomery R Rich

• Sports Physical Therapist in Stoughton, MA
• Providers in Stoughton, MA by specialty
• Sports Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.