Individual provider Active NPI

Ann Olivia Reilly, D.C.

  • Chiropractor
  • Dunn Loring, VA
National Provider Identifier
1538527536
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104557308 Issued in VA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20160406000609 DC Practitioner - Chiropractic 2860790995 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Invigorate Chiropractic Care LLC Chiropractor CurrentSince Jun 16, 2021 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.

Verify at the official NPI Registry.