Individual provider Active NPI

Rebecca Colleen Reilly, PT

  • Physical Therapist
  • St Louis Park, MN
National Provider Identifier
1811502016
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5050 W 36TH St Ste 100
St Louis Park, MN 55416-5470
Phone
(952) 925-4085
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

5050 W 36TH St Ste 100
St Louis Park, MN 55416-5470

Mailing address

5050 W 36TH St Ste 100
St Louis Park, MN 55416-5470
Phone (952) 925-4085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118003503 MN Practitioner - Physical Therapist in Private Practice 0648682682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Saint Louis University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nielson Family Chiropractic LLCGroup PAC ID 0648446930, 9 clinicians

Practice addresses (Care Compare)

5050 W 36TH St
Suite 100
St Louis Park, MN 55416-5470
Phone (952) 925-4085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nielson Family Chiropractic PLLC Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients

Locations

518 Central Ave
Osseo, MN 55369
Phone (763) 425-5525

5050 W 36th St
Ste 100
St Louis Park, MN 55416
Phone (612) 920-1092

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1811502016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 W 36TH ST STE 100",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165470",
            "telephone_number": "952-925-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 W 36TH ST STE 100",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165470",
            "telephone_number": "952-925-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "REBECCA",
        "middle_name": "COLLEEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.