Individual
MRS. STEPHANIE REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, PCS, C/NDT
Contact information
Practice address
1400 OLD COUNTRY RD STE C103N, WESTBURY, NY 11590-5156
(215) 868-9856
Mailing address
29 SPRUCE KNLS, PUTNAM VALLEY, NY 10579-2038
(152) 868-9856
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT017474
PA
2251P0200X
Pediatric Physical Therapist
Primary
031900-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101472902
—
PA
Enumeration date
05/22/2007
Last updated
08/05/2025
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