Provider Demographics
NPI:1194561217
Name:PIOTROWSKI, REILY ANNA (PT, DPT)
Entity type:Individual
Prefix:
First Name:REILY
Middle Name:ANNA
Last Name:PIOTROWSKI
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2565 N DELAWARE DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7330
Mailing Address - Country:US
Mailing Address - Phone:610-248-8004
Mailing Address - Fax:
Practice Address - Street 1:425 WAVERLY OAKS RD
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-8506
Practice Address - Country:US
Practice Address - Phone:781-373-3620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT7079225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist