Individual ProviderKerida Elaine O'ReillyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address10900 73rd Ave N Ste 110, Maple Grove, MN 55369-5400(612) 834-4063PECOS EnrollmentBased on the most recent information from CMS, provider Kerida Elaine O'Reilly does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1871917344Provider TypeIndividualFull NameO'Reilly, Kerida ElaineCredentialPT, DPTGenderFemaleSole ProprietorNoEnumeration Date2/4/2014Last Updated3/14/2024Contact InformationPractice LocationPractice Address10900 73rd Ave N Ste 110, Maple Grove, MN 55369-5400Phone(612) 834-4063FaxUnlisted FaxMailing LocationMailing Address4801 W 81st St Ste 103, Bloomington, MN 55437-1111Phone(612) 834-4063FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense13408Minnesota