Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Reilly Johnston-Walsh, PA-C

Individual provider Physician Assistant · NPI 1093592685

Reilly Johnston-Walsh, PA-C is a Physician Assistant in Pinellas Park, Florida. Qualified in 2023, 3 years ago. Practices as a sole proprietor.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3110 Grand Ave Apt 1107
Pinellas Park, FL 33782-6152
Phone: (717) 422-2866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1093592685
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 8, 2023
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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