REILLY PETERSON DPT
NPI 1194417311
Physical Therapist in Fridley, MN
About Reilly Peterson Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REILLY PETERSON DPT (NPI 1194417311) is an individual physical therapist in Fridley, Minnesota, licensed in Minnesota (13055) and active in the NPI registry since May 2023.
NPPES Registry Identity
Specialties & Licenses
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Reilly Peterson Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Reilly Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fridley, MN 55432
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Metro Therapy Special Childrens Clinic
- 18 clinicians in this Medicare group
Fridley, MN 55432
- Reassigned Medicare billing, Minnesota enrollment
- 75 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FRIDLEY, MN 55432
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 Peterson's NPI number?
The NPI number for Reilly Peterson is 1194417311. It was assigned to this individual provider in the NPPES registry on May 25, 2023.
Where is Reilly Peterson located?
Reilly Peterson practices at 7241 University Ave NE, Fridley, MN 55432. The listed phone number is (763) 450-9400.
What is Reilly Peterson's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Reilly Peterson enrolled in Medicare?
Yes. Reilly Peterson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Reilly Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Reilly Peterson reassigns Medicare benefits to 2 organizations: Metro Therapy Special Children's Clinic (Fridley, MN) and Aegis Group Practice LLC (Fridley, MN). Each 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 Peterson'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 Peterson was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.