Robert E. Reilly, PT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT18548 Issued in CA

Practice address

1911 Williams Dr
110
Oxnard, CA 93036-2612

Phone

(805) 981-4223

Fax

(805) 981-3351

NPI assigned

Mar 14, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437282662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8653 NYE RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930011012",
            "telephone_number": "805-649-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 WILLIAMS DR",
            "address_2": "110",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362612",
            "telephone_number": "805-981-4223",
            "fax_number": "805-981-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "ROBERT",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT18548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul A Rehder, M.D.
• Thelma Reich, M.D.
• Elizabeth Reid, PT, DPT
• Kasea Reid, CHYPNO
• Kristen Reid
• Reimbursement Consultants, Inc. (Ventura County Adult Day Health Care)
• Natalie Marie Reina
• John Kniser Reinhart I
• Khiana Reinsel
• Reitz and Rizer Dental Corp

• Licensed Psychiatric Technician in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.