Ma Jeanette Andres Reyes, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01085300 Issued in NJ

Practice address

2021 Route 35
Wall Township, NJ 07719-3539

Phone

(732) 282-1910

Fax

(732) 449-3271

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Achieve at Home Therapy Services

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  • Red Bank, NJ
  • NPI 1033867189

  Physical Therapist

  Medicare reassignment NPD
• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246
  NPD
• Advance Physical Therapyand Fitness Inc.

  • Physical Therapist
  • Neptune, NJ
  • NPI 1801016746
  NPD (past)
• Seaview Orthopaedics & Medical Associates LLP

  • Orthopaedic Surgery Physician
  • Ocean, NJ
  • NPI 1982618757

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1023102829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 ROUTE 35",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "07719",
            "telephone_number": "732-282-1910",
            "fax_number": "732-449-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 ROUTE 35",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193539",
            "telephone_number": "732-282-1910",
            "fax_number": "732-449-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "MA JEANETTE",
        "middle_name": "ANDRES",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01085300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Said Ramadan, APN-C
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• Shelli Lynn Ravine, O.D.
• Alicia L. Realmuto, N.P.
• Gaetano A. Ricciardone, D.C.
• Doreen Ann Riegal, MS
• Ethan Rivera, RBT
• Loyda I Rivera, MD, FAAP, FACC
• Robert M Baker Counseling

• Physical Therapist in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.