Healthcare Provider Details

I. General information

NPI: 1760920243
Provider Name (Legal Business Name): REILLY ERIN BEILMAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REILLY BARNES

II. Dates (important events)

Enumeration Date: 02/06/2017
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 N LOUISVILLE ST STE 115
HARLEM GA
30814-6012
US

IV. Provider business mailing address

2122 YORK RD STE 300
OAK BROOK IL
60523-1925
US

V. Phone/Fax

Practice location:
  • Phone: 706-986-0996
  • Fax: 706-986-0995
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT012777
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: