Individual provider Active NPI

Marissa Reilly, DPT, ATC, SCS

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1366859563
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1347071 Issued in TX
Practice address
8070 Park LN Ste 130
Dallas, TX 75231-6439
Phone
(469) 372-0021
NPI assigned
Jul 20, 2014
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01766700 NJ
Physical Therapist 225100000X 4304 NH
Athletic Trainer 2255A2300X 946 CT
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1347071 TX Primary

Addresses

Primary practice location

8070 Park LN Ste 130
Dallas, TX 75231-6439

Mailing address

3500 Oak Lawn Ave Ste 240
Dallas, TX 75219-4329
Phone (214) 528-3378

Other practice location 1

197 Ridgedale Ave
Cedar Knolls, NJ 07927-2111
Phone (973) 605-5115

Other practice location 2

112 Etna Rd
Lebanon, NH 03766-1454
Phone (603) 643-7788

Other practice location 3

275 Mount Carmel Ave
Hamden, CT 06518-1961
Phone (973) 902-8158

Other names 1

  • Marissa Harper Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210903001819 TX Practitioner - Physical Therapist in Private Practice 2264790435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
3DPT, PLLCGroup PAC ID 3072673003, 18 clinicians

Practice addresses (Care Compare)

8070 Park LN
Suite 130
Dallas, TX 75231-6439
Phone (469) 372-0021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
946CTMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
3DPT, PLLC Multi-Specialty CurrentSince Oct 25, 2021 Accepting new patients

Locations

8070 Park Ln
Ste 130
Dallas, TX 75231
Phone (469) 372-0021

3500 Oak Lawn Ave
Ste 670
Dallas, TX 75219
Phone (214) 528-3378

3500 Oak Lawn Ave
Ste 240
Dallas, TX 75219
Phone (214) 528-3378

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1405814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1366859563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 OAK LAWN AVE STE 240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194329",
            "telephone_number": "214-528-3378",
            "fax_number": "214-528-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8070 PARK LN STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752316439",
            "telephone_number": "469-372-0021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 Ridgedale Ave",
            "address_purpose": "LOCATION",
            "city": "Cedar Knolls",
            "state": "NJ",
            "postal_code": "079272111",
            "country_code": "US",
            "telephone_number": "973-605-5115",
            "fax_number": "973-605-5995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Etna Rd",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037661454",
            "country_code": "US",
            "telephone_number": "603-643-7788",
            "fax_number": "603-643-0022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Mount Carmel Ave",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065181961",
            "country_code": "US",
            "telephone_number": "973-902-8158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REILLY",
        "first_name": "MARISSA",
        "credential": "DPT, ATC, SCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-20",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01766700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4304",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "946",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1347071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "HARPER",
            "credential": "DPT, ATC, LAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.