Active NPI
Joseph C Reilly, P.T.
- Physical Therapist
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT14970
- Practice address
- 4119 Tamiami TRL S
Venice, FL 34293-5109 - Phone
- (941) 408-8800
- Fax
- (941) 408-0255
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT14970 | FL | Primary |
Addresses
Primary practice location
4119 Tamiami TRL S
Venice, FL 34293-5109
Mailing address
1954 Tamiami TRL S
Venice, FL 34293-5001
Phone (941) 408-8800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y8941 | Other | FL | BCBS OF FL |
| 650019630 | Other | FL | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Tamiami TRL S
Suite 210
Venice, FL 34285-2626
Phone 87746937782004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14970 | FL | MD | Dentist |
| PT14970 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitness Quest-Port Charlotte LLC | Physical Therapist | Current | Accepting new patients |
| Fitness Quest - Venice LLC | Current | Accepting new patients | |
| Fitness Quest - Venice LLC | Physical Therapist | Current | Accepting new patients |
| Fitness Quest - Palmer Ranch, LLC | Physical Therapist | Current | Accepting new patients |
| Fitness Quest - Bradenton LLC | Current | Accepting new patients | |
| Fitness Quest West Villages, LLC | Current | Accepting new patients |
Locations
3657 Cortez Rd W
Ste 110
Bradenton, FL 34210
Phone (941) 361-9020
2828 S McCall Rd
Ste 25
Englewood, FL 34224
Phone (941) 460-6174
11045 Tamiami Trl S
North Port, FL 34287
Phone (877) 469-3778
3479 Precision Dr
Ste 115
North Venice, FL 34275
Phone (941) 275-6377
1649 Tamiami Trl
Ste 1A
Pt Charlotte, FL 33948
Phone (941) 743-6700
8588 Potter Park Dr
Ste 201
Sarasota, FL 34238
Phone (941) 361-9020
400 Tamiami Trl S
Ste 210
Venice, FL 34285
Phone (877) 469-3778
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 6
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 Therapy Clinic/Center
- Lakewood Ranch, FL
- NPI 1033129895
Physical Therapist
-
- Physical Therapy Clinic/Center
- Englewood, FL
- NPI 1528219631
-
- Physical Therapy Clinic/Center
- Sarasota, FL
- NPI 1962952556
Physical Therapist
-
- Physical Therapy Clinic/Center
- Port Charlotte, FL
- NPI 1679761696
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Longboat Key, FL
- NPI 1427936889
-
- Physical Therapy Clinic/Center
- North Venice, FL
- NPI 1760036438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1669414694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1954 TAMIAMI TRL S",
"city": "VENICE",
"state": "FL",
"postal_code": "342935001",
"telephone_number": "941-408-8800",
"fax_number": "941-408-0255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4119 TAMIAMI TRL S",
"city": "VENICE",
"state": "FL",
"postal_code": "342935109",
"telephone_number": "941-408-8800",
"fax_number": "941-408-0255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "JOSEPH",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT14970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "Y8941",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "650019630",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.