Sean James Reilly, DPT, CSCS
Physical Therapist, Sports in Stoughton, MA. Individual provider (NPI-1).
NPI number1184459554
StatusActive
Last updated in NPPESSep 5, 2024
Details
- NPI
- 1184459554
- Entity type
- Individual (NPI-1)
- Name
- Sean James Reilly
- Credential
- DPT, CSCS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2024
- Certification date
- Sep 5, 2024
- Last updated
- Sep 5, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251S0007X | Physical Therapist, Sports | PTL27773 | MA | Yes |
Practice location
1519 Central St Ste BStoughton, MA 02072-4415
Phone 781-728-9411
Mailing address
1519 Central St Ste BStoughton, MA 02072-4415
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