Active NPI
Kathryn Estill Reilly, MSR, PT
- Physical Therapist
- Blacksburg, VA
National Provider Identifier
1407845183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305203417
- Practice address
- 1995 S Main St
Suite 801
Blacksburg, VA 24060-6637 - Phone
- (540) 951-2703
- Fax
- (540) 953-0873
- NPI assigned
- Oct 17, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305203417 | VA | Primary |
Addresses
Primary practice location
1995 S Main St
Suite 801
Blacksburg, VA 24060-6637
Mailing address
1995 S Main St
Suite 801
Blacksburg, VA 24060-6637
Phone (540) 951-2703
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2108898 | Medicaid | VA | |
| 386443 | Other | VA | ANTHEM BCBS |
| 2108898 | Other | VA | MAMSI |
| 796939 | Other | VA | AETNA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1407845183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1995 S MAIN ST",
"address_2": "SUITE 801",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240606637",
"telephone_number": "540-951-2703",
"fax_number": "540-953-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 S MAIN ST",
"address_2": "SUITE 801",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240606637",
"telephone_number": "540-951-2703",
"fax_number": "540-953-0873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "KATHRYN",
"middle_name": "ESTILL",
"name_prefix": "Mrs.",
"credential": "MSR, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305203417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2108898",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "386443",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2108898",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "796939",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.