Individual provider Active NPI

Taylor Nicole Reilley, PT, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1891463626
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070026824 Issued in IL
Practice address
2837 W Irving Park Rd
Chicago, IL 60618-3624
Phone
(773) 463-0249
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 300577 CA
Physical Therapist 225100000X PT61270116 WA
Physical Therapist 225100000X 070026824 IL Primary

Addresses

Primary practice location

2837 W Irving Park Rd
Chicago, IL 60618-3624

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Other practice location 1

803 E Walnut Ave
Lompoc, CA 93436-7027
Phone (805) 735-3714

Other practice location 2

15808 Mill Creek Blvd Ste 120
Mill Creek, WA 98012-1500
Phone (425) 225-6867

Other names 1

  • Taylor Reilley Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221229000513 IL Practitioner - Physical Therapist in Private Practice 3476940149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PF Physical Therapy LLCGroup PAC ID 7012355993, 4 clinicians

Practice addresses (Care Compare)

851 N California Ave
Chicago, IL 60622-4401
Phone (773) 904-7477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
300577CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Dec 19, 2022 Accepting new patients
PF Physical Therapy LLC Physical Therapist CurrentSince Mar 6, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Dec 19, 2022 Accepting new patients
Carnahan Therapy/the Work Center, Inc. Physical Therapist PastSince Sep 1, 2021 Accepting new patients

Locations

4835 N Kedzie Ave
Chicago, IL 60625
Phone (773) 596-5500

2837 W Irving Park Rd
Chicago, IL 60618
Phone (773) 463-0249

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

Interoperability endpoints

  • Direct secure messaging: taylor.reilly.p9@direct.athleticoltd.nextgenshare.com

Organizations & group practices 4

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": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1891463626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183624",
            "telephone_number": "773-463-0249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 E Walnut Ave",
            "address_purpose": "LOCATION",
            "city": "Lompoc",
            "state": "CA",
            "postal_code": "934367027",
            "country_code": "US",
            "telephone_number": "805-735-3714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15808 Mill Creek Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WA",
            "postal_code": "980121500",
            "country_code": "US",
            "telephone_number": "425-225-6867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REILLEY",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300577",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61270116",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070026824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "REILLEY",
            "credential": "PT, DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.