Individual provider Active NPI

Sherrie Anne Reilly, PT

  • Physical Therapist
  • Geneseo, NY
National Provider Identifier
1386889871
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005345-1 Issued in NY
Practice address
1 College Cir
Suny Geneseo- Holcomb Building
Geneseo, NY 14454-1401
Phone
(585) 245-5688
Fax
(585) 245-5685
NPI assigned
Dec 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 005345-1 NY Primary

Addresses

Primary practice location

1 College Cir
Suny Geneseo- Holcomb Building
Geneseo, NY 14454-1401

Mailing address

18 Main Street
Mt. Morris, NY 14510-1036
Phone (585) 658-2828

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

LicenseStateTypeSpecialty
005345-1NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston-Wyoming Arc Past Accepting new patients
Livingston County Past Accepting new patients

Organizations & group practices 2

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": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1386889871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MAIN STREET",
            "city": "MT. MORRIS",
            "state": "NY",
            "postal_code": "145101036",
            "telephone_number": "585-658-2828",
            "fax_number": "585-245-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLLEGE CIR",
            "address_2": "SUNY GENESEO- HOLCOMB BUILDING",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541401",
            "telephone_number": "585-245-5688",
            "fax_number": "585-245-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "SHERRIE",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "005345-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneseo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.