Reilly Connolly, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

65382 Issued in OR

Practice address

946 SW Veterans Way Ste 100
Redmond, OR 97756-2700

Phone

(541) 527-4386

NPI assigned

Jul 22, 2024

Last updated

Jul 22, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redbird LLCGroup PAC ID 3870891278, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Redbird LLC

  dba Redbird Physio

  • Physical Therapist
  • Bend, OR
  • NPI 1306213913
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1568290682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SW CHANDLER AVE STE 103",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 SW VETERANS WAY STE 100",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562700",
            "telephone_number": "541-527-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "REILLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compassion Physio LLC
• Amber Conant
• Nicole Confer, MS CCC-SLP
• Kelsey Marie Conklin, RN, FNP
• Kenneth Adam Conklin, MPAS, PA-C
• Brianna Paul Cook
• Caroline Jayne Cook, D.O.
• Haley Adele Cook
• Hanna Cook
• Joshua Campbell Hart Cook, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.