Marissa Reilly, DPT, ATC, SCS
NPI 1366859563 · Physical Therapist · Dallas, TX
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1366859563
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT, ATC, SCS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 40QA01766700 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
3,110 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Functional Activities97530 | 740 | $33 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 724 | $26 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 675 | $22 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 545 | $20 |
| Therapy Procedure in a Group Setting97150 | 216 | $14 |
| Training for Self-Care Or Home Management, Each 15 Minutes97535 | 143 | $25 |
Practice location
Mailing address
Additional practice locations (3)
- 275 Mount Carmel AveHamden, CT 06518-1961Phone: (973) 902-8158
- 112 Etna RdLebanon, NH 03766-1454Phone: (603) 643-7788Fax: (603) 643-0022
- 197 Ridgedale AveCedar Knolls, NJ 07927-2111Phone: (973) 605-5115Fax: (973) 605-5995
Registry dates
- Enumerated
- 2014-07-20
- Last updated
- 2025-04-08
- Certified
- 2025-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.