Active NPI
Lauren Reilly, PT, DPT
- Physical Therapist
- Suffolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP055525T
- Practice address
- 150 Burnetts Way Ste 230
Suffolk, VA 23434-8168 - Phone
- (757) 942-2022
- Fax
- (757) 512-8997
- NPI assigned
- Dec 16, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29240 | MD | |
| Physical Therapist | 225100000X | CP055525T | VA | Primary |
| Physical Therapist | 225100000X | 14602 | CT | |
| Physical Therapist | 225100000X | 070.029235 | IL |
Addresses
Primary practice location
150 Burnetts Way Ste 230
Suffolk, VA 23434-8168
Mailing address
PO Box 412307
Boston, MA 02241-2307
Phone (914) 294-4050
Other practice location 1
1413 Madison Park Dr Unit 100
Glen Burnie, MD 21061-6355
Phone (410) 863-5939
Other practice location 2
3683 Post Rd
Southport, CT 06890-1113
Phone (475) 209-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, CT, VA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1413 Madison Park Dr
Suite 100
Glen Burnie, MD 21061-5613
Phone (443) 583-3757
150 Burnetts Way
Suite 230
Suffolk, VA 23434-8168
Phone (757) 942-2022
3683 Post Rd
Southport, CT 06890-1113
Phone (475) 209-8900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14602 | CT | MD | Physical Therapist |
| 070.029235 | IL | MD | Physical Therapist |
| 29240 | MD | MD | Physical Therapist |
| CP055525T | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Connecticut, Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Sept, LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Sept, LLC | Physical Therapist | Past | Accepting new patients |
Locations
90 Washington St
Norwalk, CT 06854
Phone (475) 273-0583
3683 Post Rd
Southport, CT 06890
Phone (475) 209-8900
101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018
150 Burnetts Way
Ste 230
Suffolk, VA 23434
Phone (757) 942-2022
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1982657433
-
- Physical Therapist
- Old Greenwich, CT
- NPI 1265799365
-
- Physical Therapy Clinic/Center
- Columbia, MD
- NPI 1144637570
-
- Physical Medicine & Rehabilitation Physician
- Verona, VA
- NPI 1235955709
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1669184149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412307",
"city": "BOSTON",
"state": "MA",
"postal_code": "022412307",
"telephone_number": "914-294-4050",
"fax_number": "631-760-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 BURNETTS WAY STE 230",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234348168",
"telephone_number": "757-942-2022",
"fax_number": "757-512-8997"
}
],
"practiceLocations": [
{
"address_1": "1413 Madison Park Dr Unit 100",
"address_purpose": "LOCATION",
"city": "Glen Burnie",
"state": "MD",
"postal_code": "210616355",
"country_code": "US",
"telephone_number": "410-863-5939",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3683 Post Rd",
"address_purpose": "LOCATION",
"city": "Southport",
"state": "CT",
"postal_code": "068901113",
"country_code": "US",
"telephone_number": "475-209-8900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REILLY",
"first_name": "LAUREN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-16",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "29240",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "CP055525T",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "14602",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.029235",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.