Active NPI
Ann Reilly
- Physical Therapist
- Dallas, TX
National Provider Identifier
1669903456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2870
- Practice address
- 12225 Greenville Ave
Suite 600
Dallas, TX 75243-9362 - Phone
- (888) 800-8744
- NPI assigned
- Mar 23, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2870 | SC | Primary |
Addresses
Primary practice location
12225 Greenville Ave
Suite 600
Dallas, TX 75243-9362
Mailing address
425 Hempstead Ave
Rockville Centre, NY 11570-2042
Phone (843) 696-1639
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2870 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1669903456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 HEMPSTEAD AVE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115702042",
"telephone_number": "843-696-1639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12225 GREENVILLE AVE",
"address_2": "SUITE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752439362",
"telephone_number": "888-800-8744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-23",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "2870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.