Active NPI
Amy C O'Reilly, PT
- Specialist
- Pinehurst, NC
National Provider Identifier
1962634220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 7583
- Practice address
- 111 Central Park Ave
Suite E
Pinehurst, NC 28374-8726 - Phone
- (910) 215-0541
- Fax
- (910) 215-9886
- NPI assigned
- Aug 19, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 7583 | NC | Primary |
Addresses
Primary practice location
111 Central Park Ave
Suite E
Pinehurst, NC 28374-8726
Mailing address
111 Central Park Ave
Suite E
Pinehurst, NC 28374-8726
Phone (910) 215-0541
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2334264 | Other | NC | MEDICARE GROUP PTAN |
| 2506015 | Other | NC | MEDICARE INDIVIDUAL PTAN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7583 | NC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HBC Paragon Physical Therapy LLC | Past | Accepting new patients | |
| Appalachian Physica L Therapy, Inc | Specialist | Past | Accepting new patients |
| Sandhills Orthotics, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Pinehurst, NC
- NPI 1669528402
-
- Physical Therapist
- Pinehurst, NC
- NPI 1033968623
-
- Customized Equipment (DME)
- Fayetteville, NC
- NPI 1972301562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254182400000",
"number": "1962634220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CENTRAL PARK AVE",
"address_2": "SUITE E",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748726",
"telephone_number": "910-215-0541",
"fax_number": "910-215-9886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CENTRAL PARK AVE",
"address_2": "SUITE E",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748726",
"telephone_number": "910-215-0541",
"fax_number": "910-215-9886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'REILLY",
"first_name": "AMY",
"middle_name": "C",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-19",
"last_updated": "2009-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "7583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "2334264",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PTAN",
"identifier": "2506015",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.