MEDICARE: REBECCA ENGLISH REILEY DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	14561	TN
2	225100000X	Physical Therapist	PT030423	PA
3	225100000X	Physical Therapist	CP025338T	CO
4	225100000X	Physical Therapist	CP051400T	OR

General Provider Information

NPI Number	:	1780318998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ENGLISH REILEY DPT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:	720-497-6710

Provider Business Practice Location Address
First Line	:	162 NE BEACON DR STE 101
Second Line	:
City	:	GRANTS PASS
State	:	OR
Zip	:	97526-4260
Country	:	US
Telephone Number	:	541-955-5181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2022
Last Update Date	:	01/07/2026

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