Active NPI
Mary O'Reilly, PTA
- Physical Therapy Assistant
- Winchester, VA
National Provider Identifier
1720684335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 400 Clocktower Ridge Dr
Winchester, VA 22603-3878 - Phone
- (540) 431-2800
- NPI assigned
- Dec 9, 2020
- Last updated
- Dec 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | NU | Primary |
Addresses
Primary practice location
400 Clocktower Ridge Dr
Winchester, VA 22603-3878
Mailing address
300 Clocktower Ridge Dr
Winchester, VA 22603-3887
Phone (540) 431-2800
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1720684335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CLOCKTOWER RIDGE DR",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226033887",
"telephone_number": "540-431-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CLOCKTOWER RIDGE DR",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226033878",
"telephone_number": "540-431-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'REILLY",
"first_name": "MARY",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-09",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.