Jacqueline Reisner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

034572-1 Issued in NY

Practice address

103 S Bedford Rd Ste 109
Mount Kisco, NY 10549-3452

Phone

(212) 241-8000

Fax

(914) 241-3547

NPI assigned

Mar 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mount Kisco Physical Therapy and Chiropractic PLLCGroup PAC ID 4789095613, 3 clinicians

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.

• Mount Kisco Physical Therapy & Chiropractic PLLC

  • Chiropractor
  • Mount Kisco, NY
  • NPI 1144843699
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1740588268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S BEDFORD RD STE 109",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493452",
            "telephone_number": "212-241-8000",
            "fax_number": "914-241-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S BEDFORD RD STE 109",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493452",
            "telephone_number": "212-241-8000",
            "fax_number": "914-241-3547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E 56th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100224136",
            "country_code": "US",
            "telephone_number": "212-935-1700",
            "fax_number": "212-753-9856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REISNER",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034572-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Marie Reilly, PA
• Jacqueline Ann Reilly, LCSW
• Kevin B Reilly, MD
• Michele L Reilly, NP
• Steven L Reiner, M.D.
• Mira Renchner, LCSWR
• Aglae Garvey Rene, M.D.
• Reproductive Medicine Associates of New York at Caremount, PLLC
• Keri Rescigno, FNP
• Marni Reuling, PSY.D.

• Physical Therapist in Mount Kisco, NY
• Providers in Mount Kisco, 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 Sep 19, 2019; 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.