MARIE A REILLY (NPI# 1184633695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184633695 |
| Entity Type | Individual |
| Full Name | MARIE A REILLY |
| Practice Address |
4201 Lake Boone Trl Suite 4 Raleigh NC 27607-7512 |
| Practice Telephone | 9197814434 |
| Practice Fax Number | 9197815851 |
| Mailing Telephone | 9197814434 |
| Mailing Fax Number | 9197815851 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2015-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 4029 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7200404 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881919181 | Marie Anne Reilly | Pediatrics | 300 Longwood Ave, Developmental Medicine, Boston, MA 02115-5724 | 2010-03-30 |
| Street Address |
4201 LAKE BOONE TRL SUITE 4 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-7512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881680098 | Joseph Anthony Guzzo | Internal Medicine | 4201 Lake Boone Trl, Suite 104, Raleigh, NC 27607-7512 | 2005-09-22 |
| 1699383034 | Sarah Olivia Varner | Speech-Language Pathologist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2020-07-22 |
| 1700445707 | Courtney Lynn Race | Occupational Therapist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2019-06-12 |
| 1285118513 | Amanda Erin Mcguire | Occupational Therapist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2018-09-22 |
| 1790227858 | Kelly Walsh | Physical Therapist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-11-07 |
| 1891145355 | Anna Lawrence | Speech-Language Pathologist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-06-15 |
| 1629427836 | Christine A Halstead | Speech-Language Pathologist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-06-08 |
| 1700231156 | Megan Puryear | Speech-Language Pathologist | 4201 Lake Boone Trl, Raleigh, NC 27607 | 2016-05-03 |
| 1710345913 | Carly Kohler | Occupational Therapist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-02-02 |
| 1780064105 | Samantha Vrooman | Audiologist | 4201 Lake Boone Trl, Suite 105, Raleigh, NC 27607-7512 | 2015-06-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
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| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127718 | Abbey Cathlene Freville | Physical Therapist | 3230 Lynn Ridge Dr Apt 2d, Raleigh, NC 27613-8934 | 2020-09-01 |
| 1407406622 | Katherine Miller | Physical Therapist | 8600 Brittdale Ln Apt 202, Raleigh, NC 27617-6270 | 2019-09-19 |
| 1508414434 | Katherine Irene Virgin | Physical Therapist | 2031 Smallwood Dr, Raleigh, NC 27605-1334 | 2019-09-04 |
| 1285289256 | Carlie Bromer Huberman | Physical Therapist | 1105 W Cabarrus St, Raleigh, NC 27603-1905 | 2019-08-07 |
| 1316509508 | Movement First Physical Therapy, LLC | Physical Therapist | 11308 N Radner Way, Raleigh, NC 27613-5534 | 2019-07-08 |
| 1114582301 | Wakemed Specialists Group, LLC | Physical Therapist | 10010 Falls of Neuse Rd Ste 9, Raleigh, NC 27614-8495 | 2019-05-03 |
| 1750945796 | Benjamin Thomas Schmitt | Physical Therapist | 11201 Galleria Ave Ste 105, Raleigh, NC 27614-8137 | 2019-04-25 |
| 1790264455 | Cortney E Marotto | Physical Therapist | 1300 Corporation Pkwy Ste B, Raleigh, NC 27610-1362 | 2018-08-13 |
| 1801386305 | Samantha Roedel | Physical Therapist | 4351 Avent Ferry Rd Apt 2, Raleigh, NC 27606-4780 | 2018-05-10 |
| 1306341029 | Katherine Elizabeth Drumheller | Physical Therapist | 7024 Sandringham Dr, Raleigh, NC 27613-4053 | 2018-03-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.