Taylor Marie Reilly

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT030203 Issued in PA

Practice address

4700 Wissahickon Ave Ste 120
Philadelphia, PA 19144-4248

Phone

(215) 991-3982

NPI assigned

Feb 8, 2022

Sex

Female

Sole proprietor

Yes

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 PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Novacare Outpatient Rehabilitation East, Inc.

  • Physical Therapy Clinic/Center
  • Ligonier, PA
  • NPI 1487010583

  Physical Therapist

  Medicare reassignment NPD
• Novacare Outpatient Rehabilitation East, Inc.

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
  • NPI 1144940818
  NPD
• Novacare Outpatient Rehabilitation East Inc

  • Physical Therapy Clinic/Center
  • Ferndale, MI
  • NPI 1245235191
  NPD
• Rehabclinics Galaxy Inc

  • Physical Therapy Clinic/Center
  • Greenfield, WI
  • NPI 1447250006
  NPD (past)

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1396499588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 PENNSYLVANIA AVE APT 603",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303523",
            "telephone_number": "570-262-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WISSAHICKON AVE STE 120",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444248",
            "telephone_number": "215-991-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Reilly, CRNP
• Patrick M Reilly, MD
• Paul Reilly, MD
• Sean Patrick Reilly
• Sheila Reilly, RDH
• Theresa Korneluk Reilly, M.D.
• Timothy Reilly, PT, DPT
• Jack Christopher Reimer
• Kathleen Rein
• Vanessa L Rein, MD

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.