Maryclaire Fleming-Reilly, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00263900 Issued in NJ

Practice address

2024 Macopin Rd
Suite E
West Milford, NJ 07480-1900

Phone

(973) 728-5588

Fax

(973) 728-0928

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ivyrehab Network Inc.

  • Physical Therapist
  • Hoboken, NJ
  • NPI 1174577274
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861538084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CHRIS TER",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074562702",
            "telephone_number": "973-962-1022",
            "fax_number": "973-728-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 MACOPIN RD",
            "address_2": "SUITE E",
            "city": "WEST MILFORD",
            "state": "NJ",
            "postal_code": "074801900",
            "telephone_number": "973-728-5588",
            "fax_number": "973-728-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING-REILLY",
        "first_name": "MARYCLAIRE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00263900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Care Physical Therapy LLC
• Yasmeen Faraj
• Jacqueline Felczak, M.A., LPC, LCADC
• Evelyn Fernandez, RPH
• Susan T Fitzsimons, NBCR NATIONALBOARD C
• Shannon Foster, L.C.S.W.
• Michael John Franklin, RD
• Susan X Friedrichs, OT
• Christian S Gartner, MS PT
• Alison Gerlitz

• All providers in West Milford, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.