REILLY ROURKE
NPI 1073400586
Physical Therapist in Knoxville, TN

Active since June 18, 2025
5611 CENTRAL AVENUE PIKE, KNOXVILLE, TN 37912(865) 688-4840 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Reilly Rourke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REILLY ROURKE (NPI 1073400586) is an individual physical therapist in Knoxville, Tennessee and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1073400586
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameREILLY ROURKE
Location Address5611 CENTRAL AVENUE PIKEKnoxville, TN 37912-2723
Mailing Address221 E Blount Ave Apt 631Knoxville, TN 37920-1684
Sole ProprietorNo
Enumeration DateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1073400586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
5611 CENTRAL AVENUE PIKE, Knoxville, TN 37912

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reilly Rourke is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Reilly Rourke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
8458 GLEASON DR
Knoxville, TN 37919
  • Reassigned Medicare billing, Tennessee enrollment
  • 85 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
5611 CENTRAL AVENUE PIKE
KNOXVILLE, TN 37912
Speech-Language Pathologist
5611 CENTRAL AVENUE PIKE
KNOXVILLE, TN 37912

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reilly Rourke's NPI number?

The NPI number for Reilly Rourke is 1073400586. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Reilly Rourke located?

Reilly Rourke practices at 5611 Central Avenue Pike, Knoxville, TN 37912. The listed phone number is (865) 688-4840.

What is Reilly Rourke's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Reilly Rourke enrolled in Medicare?

Yes. Reilly Rourke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Reilly Rourke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Reilly Rourke reassigns Medicare benefits to Legacy Healthcare Services Inc (Knoxville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Reilly Rourke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Reilly Rourke was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.