MEDICARE: RACHEL REILLY

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	1200163	TX
2	225100000X	Physical Therapist	2305209179	VA

General Provider Information

NPI Number	:	1396139689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL REILLY

Provider Business Mailing Address
First Line	:	7701 TELEGRAPH RD
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22315-3822
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7701 TELEGRAPH RD
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22315-3822
Country	:	US
Telephone Number	:	703-664-5000
Fax Number	:

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

Provider Enumeration Date	:	03/24/2015
Last Update Date	:	11/04/2025

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Directions to “ RACHEL REILLY ” Practice Location

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