Active NPI
Ann Olivia Reilly, D.C.
- Chiropractor
- Dunn Loring, VA
National Provider Identifier
1538527536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104557308
- Practice address
- 2136 Gallows Rd Ste a
Dunn Loring, VA 22027-1036 - Phone
- (703) 919-6753
- Fax
- (703) 760-8111
- NPI assigned
- Feb 4, 2016
- Last updated
- Jun 16, 2021
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104557308 | VA | Primary |
Addresses
Primary practice location
2136 Gallows Rd Ste a
Dunn Loring, VA 22027-1036
Mailing address
8381 Old Courthouse Rd Ste 150
Vienna, VA 22182-3830
Phone (703) 760-8110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2136 Gallows Rd
Suite a
Dunn Loring, VA 22027-1036
Phone (703) 919-6753
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Invigorate Chiropractic Care LLC | Chiropractor | Current | Accepting new patients |
Locations
2136 Gallows Rd
Ste A
Vienna, VA 22027
Phone (703) 204-2320
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1538527536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8381 OLD COURTHOUSE RD STE 150",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823830",
"telephone_number": "703-760-8110",
"fax_number": "703-760-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2136 GALLOWS RD STE A",
"city": "DUNN LORING",
"state": "VA",
"postal_code": "220271036",
"telephone_number": "703-919-6753",
"fax_number": "703-760-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "ANN",
"middle_name": "OLIVIA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-04",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104557308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunn Loring, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.