KEVIN STEVEN REILLY (NPI# 1710394929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710394929 |
| Entity Type | Individual |
| Full Name | KEVIN STEVEN REILLY |
| Credential | ATC |
| Practice Address |
5500 Knoll North Dr Columbia MD 21045-2370 |
| Mailing Address |
745 Kentucky Ave Se Washington DC 20003-3113 |
| Practice Telephone | 4435420062 |
| Mailing Telephone | 5715280670 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2162 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538342373 | Kevin D. Reilly | Pharmacist | 1792 N Goodman St, Rochester, NY 14609-1036 | 2007-12-16 |
| 1427189323 | Kevin Patrick Reilly | Chiropractor | 1245 W 5th Ave, Columbus, OH 43212-2507 | 2007-03-09 |
| 1376674663 | Kevin Edward Reilly | Dentist | 650 Chase Parkway, Waterbury, CT 06708 | 2007-03-08 |
| 1427067685 | Kevin Donald Reilly | Physical Therapist | 999 Willamette St, Eugene, OR 97401-3112 | 2006-08-05 |
| 1528087244 | Kevin J Reilly | Clinical Neuropsychologist | 601 East Hampden Avenue, Suite 420, Englewood, CO 80113 | 2006-07-19 |
| 1700856838 | Kevin M Reilly | Dentist | 5507 Nesconset Hwy, Suite 23, Mount Sinai, NY 11766-2031 | 2006-01-23 |
| 1528497278 | Kevin Reilly | Counselor | 1245 Edgewater St Nw, Salem, OR 97304-4049 | 2013-11-04 |
| 1962754804 | Kevin D Reilly | Physician Assistant | 217 Hillcrest St, Orlando, FL 32801-1211 | 2012-10-02 |
| 1225301799 | Kevin John Reilly | Counselor | 341 Irwin Ln, Santa Rosa, CA 95401-5603 | 2012-02-14 |
| 1073658910 | Kevin J Reilly | Pharmacist | 629 6th Ave, De Witt, IA 52742-1635 | 2007-02-20 |
| Street Address |
5500 KNOLL NORTH DR |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-2370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487650891 | Shanita Chase | Family Medicine | 5500 Knoll North Dr, Suite 370, Columbia, MD 21045-2209 | 2005-06-22 |
| 1023621174 | Wendy Strong | Nurse Practitioner | 5500 Knoll North Dr, Columbia, MD 21045-2370 | 2020-08-28 |
| 1386209302 | Nasseri Clinic of Arthritic & Rheumatic Diseases, LLC | Internal Medicine | 5500 Knoll North Dr, Columbia, MD 21045-2370 | 2019-05-06 |
| 1255807228 | Amber Bokhari | Student in an Organized Health Care Education/Training Program | 5500 Knoll North Dr, Columbia, MD 21045-2370 | 2018-10-17 |
| 1164971644 | Lauren Heather Saks | Social Worker | 5500 Knoll North Dr, Suite 370, Columbia, MD 21045-2370 | 2016-09-26 |
| 1033560438 | Lisa M Alley | Specialist/Technologist | 5500 Knoll North Dr, Columbia, MD 21045-2370 | 2016-06-27 |
| 1245684547 | One World Healthcare LLC | Internal Medicine | 5500 Knoll North Dr, Suite 220, Columbia, MD 21045-2370 | 2016-04-22 |
| 1598127391 | Glen Burnie Physical Therapy & Sportscare, LLC | Occupational Therapist | 5500 Knoll North Dr, Ste 150, Columbia, MD 21045 | 2016-03-22 |
| 1700245552 | Maria Loreto Miranda Bravo | Counselor | 5500 Knoll North Dr, 370, Columbia, MD 21045-2370 | 2016-02-22 |
| 1457717480 | Kimberly Mcgeady | Audiologist | 5500 Knoll North Dr, Suite 320, Columbia, MD 21045-2370 | 2016-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969737 | Skylar Brynn Hudgens-wallace | Specialist/Technologist | 208 Amelia Oaks Way, Columbia, SC 29209-1753 | 2020-07-11 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1235757162 | Jordan-lee Elizabeth Dobbins | Specialist/Technologist | 1011 Catawba Cir, Columbia, SC 29201-5252 | 2020-07-07 |
| 1285254425 | Krista Haidle | Specialist/Technologist | 2400 Jackson Blvd, Columbia, SC 29207-7015 | 2020-04-17 |
| 1497392211 | Delores Dalrymple Gulledge | Specialist/Technologist | 424 Leton Dr, Columbia, SC 29210-4218 | 2019-12-01 |
| 1285282236 | Alyssa Faith Hawkins | Specialist/Technologist | 1609 Jennifer Dr, Columbia, TN 38401-5431 | 2019-09-03 |
| 1255989232 | Victoria Simpson | Specialist/Technologist | 886 Brickingham Way, Columbia, SC 29229-9550 | 2019-09-03 |
| 1174171151 | Rachel Marie Gordon | Specialist/Technologist | 1050 Southern Dr Apt 1705, Columbia, SC 29201-5643 | 2019-09-03 |
| 1700432101 | Mitchell Vandel | Specialist/Technologist | 4115 S Providence Rd # 101, Columbia, MO 65203-7113 | 2019-08-13 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| Find all providers in COLUMBIA | ||||
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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.