Individual provider Active NPI

Brooke Meredith Reilly, OTR L

  • Occupational Therapist
  • Newton, MA
National Provider Identifier
1659444628
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7900 Issued in MA
Practice address
44 Mechanic St Ste 205
Newton, MA 02464-1474
Phone
(617) 775-0213
NPI assigned
Nov 16, 2006
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 7900 MA Primary

Addresses

Primary practice location

44 Mechanic St Ste 205
Newton, MA 02464-1474

Mailing address

41 Pine Grove St
Needham, MA 02494-1714
Phone (617) 775-0213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7900MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
She Thrives Therapy Solutions, LLC Occupational Therapist CurrentSince Apr 9, 2024 Accepting new patients

Locations

44 Mechanic St
Ste 205
Newton, MA 02464
Phone (617) 775-0213

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1659444628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PINE GROVE ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941714",
            "telephone_number": "617-775-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MECHANIC ST STE 205",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641474",
            "telephone_number": "617-775-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "BROOKE",
        "middle_name": "MEREDITH",
        "name_prefix": "Mrs.",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "7900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.