Individual provider Active NPI

Amy C O'Reilly, PT

  • Specialist
  • Pinehurst, NC
National Provider Identifier
1962634220
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7583 Issued in NC
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

Updated by the provider on Sep 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2334264OtherNCMEDICARE GROUP PTAN
2506015OtherNCMEDICARE 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

LicenseStateTypeSpecialty
7583NCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
HBC Paragon Physical Therapy LLC PastSince May 19, 2024 Accepting new patients
Appalachian Physica L Therapy, Inc Specialist PastSince Apr 1, 2005 Accepting new patients
Sandhills Orthotics, LLC PastSince Jan 1, 2016 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.

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.

Verify at the official NPI Registry.