Active NPI
Joshua F Reilly
- Orthopedic Physical Therapist
- Pinellas Park, FL
National Provider Identifier
1417505181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT35067
- Practice address
- 9125 US Highway 19 N
Pinellas Park, FL 33782-5406 - Phone
- (727) 369-6355
- Fax
- (727) 362-4766
- NPI assigned
- Aug 27, 2019
- Last updated
- Aug 27, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT35067 | FL | Primary |
Addresses
Primary practice location
9125 US Highway 19 N
Pinellas Park, FL 33782-5406
Mailing address
9125 US Highway 19 N
Pinellas Park, FL 33782-5406
Phone (727) 369-6355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9125 US Hwy 19 N
Pinellas Park, FL 33782-5406
Phone (727) 369-6355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT35067 | FL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life in Motion Physical & Hand Therapy | Orthopedic | Current | Accepting new patients |
| Life in Motion Physical & Hand Therapy | Past | Accepting new patients |
Locations
9125 US Highway 19 N
Pinellas Park, FL 33782
Phone (727) 369-6355
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopedic Physical Therapist
- Pinellas Park, FL
- NPI 1194152439
-
- Physical Therapist
- Seminole, FL
- NPI 1255860433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1417505181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9125 US HIGHWAY 19 N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337825406",
"telephone_number": "727-369-6355",
"fax_number": "727-362-4766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9125 US HIGHWAY 19 N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337825406",
"telephone_number": "727-369-6355",
"fax_number": "727-362-4766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "JOSHUA",
"middle_name": "F",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-27",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT35067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.