Individual provider Active NPI

Thomas Reilly, DPT

  • Orthopedic Physical Therapist
  • Green Brook, NJ
National Provider Identifier
1568987626
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA02089600 Issued in NJ
Practice address
215 US Highway 22 Ste 5
Green Brook, NJ 08812-1920
Phone
(732) 474-0033
Fax
(732) 474-0041
NPI assigned
Aug 10, 2017
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 23075 MA
Orthopedic Physical Therapist 2251X0800X 40QA02089600 NJ Primary

Addresses

Primary practice location

215 US Highway 22 Ste 5
Green Brook, NJ 08812-1920

Mailing address

46 Milestone Dr
Ringoes, NJ 08551-2036
Phone (732) 474-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901003631 NJ Practitioner - Physical Therapist in Private Practice 1052683018 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Sports and Family Medicine, P.C.Group PAC ID 4587710793, 16 clinicians

Practice addresses (Care Compare)

3131 Princeton Pike
BLDG 4a
Lawrenceville, NJ 08648-2201
Phone (609) 896-9190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23075MAMDOrthopedic Physical Therapist
40QA02089600NJMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Sports and Family Medicine, P.C. Orthopedic CurrentSince Feb 11, 2025 Accepting new patients
Performance Medical Group of Branchburg LLC CurrentSince May 24, 2022 Accepting new patients
Get Physical, LLC Orthopedic CurrentSince Feb 5, 2024 Accepting new patients
Performance Medical of Watchung LLC CurrentSince May 24, 2022 Accepting new patients
Performance Medical Group of Branchburg LLC CurrentSince May 24, 2022 Accepting new patients
Performance Medical Group of Somerset CurrentSince May 24, 2022 Accepting new patients
Motion Works Physical Therapy, LLC Orthopedic PastSince Dec 21, 2016 Accepting new patients

Locations

3150 US Highway 22
Branchburg, NJ 08876
Phone (908) 552-0996

3150 US Highway 22
Ste 1
Branchburg, NJ 08876
Phone 9087562424131

1011 US Highway 22
Bridgewater, NJ 08807

1011 US Highway 22
Ste 203
Bridgewater, NJ 08807
Phone 9087562424135

215 US Highway 22
Ste 5
Green Brook, NJ 08812
Phone (732) 474-0033

3131 Princeton Pike
#100
Lawrenceville, NJ 08648

3131 Princeton Pike
Bldg 4
Lawrenceville, NJ 08648
Phone (609) 896-4128

3131 Princeton Pike
Bldg 4A
Lawrenceville, NJ 08648
Phone (609) 896-9190

454 Elizabeth Ave
Somerset, NJ 08873
Phone (732) 860-5757

10 Johnston Dr
Watchung, NJ 07069

459 Watchung Ave
Watchung, NJ 07069
Phone (908) 274-0988

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHEFBA

Organizations & group practices 7

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": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1568987626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 MILESTONE DR",
            "city": "RINGOES",
            "state": "NJ",
            "postal_code": "085512036",
            "telephone_number": "732-474-0033",
            "fax_number": "732-474-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 US HIGHWAY 22 STE 5",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088121920",
            "telephone_number": "732-474-0033",
            "fax_number": "732-474-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-10",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "23075",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA02089600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.