Active NPI
Courtney Reilly
- Occupational Therapist
- Cranston, RI
National Provider Identifier
1336530799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT01411
- Practice address
- 626 Park Ave
Suite 2a
Cranston, RI 02910-2154 - Phone
- (401) 270-9991
- Fax
- (401) 270-2265
- NPI assigned
- Feb 6, 2015
- 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 | OT01411 | RI | Primary |
Addresses
Primary practice location
626 Park Ave
Suite 2a
Cranston, RI 02910-2154
Mailing address
626 Park Ave
Suite 2a
Cranston, RI 02910-2154
Phone (401) 270-9991
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CBS Therapy | Occupational Therapist | Past | Accepting new patients |
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": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423180800000",
"number": "1336530799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 PARK AVE",
"address_2": "SUITE 2A",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029102154",
"telephone_number": "401-270-9991",
"fax_number": "401-270-2265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 PARK AVE",
"address_2": "SUITE 2A",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029102154",
"telephone_number": "401-270-9991",
"fax_number": "401-270-2265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "COURTNEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-06",
"last_updated": "2015-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "RI",
"license": "OT01411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.