Active NPI
Timothy H Reyes, M.S. CCC-SLP
- Speech-Language Pathologist
- Bensenville, IL
National Provider Identifier
1013972017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146005715
- Practice address
- 184 Henderson St
Bensenville, IL 60106-2103 - Phone
- (630) 238-1995
- Fax
- (630) 422-0262
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146005715 | IL | Primary |
Addresses
Primary practice location
184 Henderson St
Bensenville, IL 60106-2103
Mailing address
184 Henderson St
Bensenville, IL 60106-2033
Phone (630) 238-1995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146005715 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Level Therapy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Bensenville, IL
- NPI 1730515867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1013972017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 HENDERSON ST",
"city": "BENSENVILLE",
"state": "IL",
"postal_code": "601062033",
"telephone_number": "630-238-1995",
"fax_number": "630-422-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 HENDERSON ST",
"city": "BENSENVILLE",
"state": "IL",
"postal_code": "601062103",
"telephone_number": "630-238-1995",
"fax_number": "630-422-0262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "TIMOTHY",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146005715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bensenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.