Kevin Donald Reilly, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1991 Issued in OR

Practice address

999 Willamette St
Eugene, OR 97401-3112

Phone

(541) 687-9314

Fax

(888) 972-6544

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1427067685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 MCMILLAN ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052861",
            "telephone_number": "541-285-1434",
            "fax_number": "888-972-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013112",
            "telephone_number": "541-687-9314",
            "fax_number": "888-972-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "KEVIN",
        "middle_name": "DONALD",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028312",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regan Peterson, Rd, LD, Nutrition Consulting, LLC
• Regency of Fox Hollow, Inc
• Rehabilitation Medicine Associates of Eugene-Springfield PC
• Carol A Reidy, LMT
• Carrie Reilly
• Martha M Reilly, MD
• Loren Scott Reimers, O.D.
• Jean Reinhardt, RPT
• Kristen Reinhardt, M.S.
• Donna R Reishus, RN

• Physical Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.