Active NPI
Christa Ann Reilly
- Occupational Therapist
- Morganville, NJ
National Provider Identifier
1194404012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR01122200
- Practice address
- 23 Kilmer Dr BLDG 1
Morganville, NJ 07751-1563 - Phone
- (732) 851-4576
- NPI assigned
- Jul 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR01122200 | NJ | Primary |
Addresses
Primary practice location
23 Kilmer Dr BLDG 1
Morganville, NJ 07751-1563
Mailing address
6 Empress CT
Freehold, NJ 07728-4302
Phone (732) 535-3779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR01122200 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1194404012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 EMPRESS CT",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077284302",
"telephone_number": "732-535-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 KILMER DR BLDG 1",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077511563",
"telephone_number": "732-851-4576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "CHRISTA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-17",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR01122200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morganville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.