Brandon Matthew Reilly, DPT, MPH

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

014292 Issued in CT

Practice address

4800 Bear Rd
Liverpool, NY 13088-4697

Phone

(315) 457-9946

NPI assigned

Feb 20, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Home-Based Outpatient Physical and Occupational Therapy PLLC

  • Physical Therapist
  • Rochester, NY
  • NPI 1225925811
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1699530352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 HARRIS RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145809314",
            "telephone_number": "585-409-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 BEAR RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884697",
            "telephone_number": "315-457-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "BRANDON",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "DPT, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "014292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Rech, FNP
• David Reed
• Refresh Pharmacy USA LLC
• Mark J Reger, MD
• Regina M. Devito, O.D., P.C.
• Manisha Relan, MD
• Mark A Relyea, LPN
• Retina-Vitreous Surgeons of Central New York, PC
• Sonya Rettig
• Return to Compete Physical Therapy, PLLC

• Physical Therapist in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.