Organization Active NPI

Rehabtronix LLC

  • Customized Equipment (DME)
  • San Jose, CA
National Provider Identifier
1043017734
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
REHABTRONIX LLC
Practice address
6090 Hellyer Ave Ste 150
San Jose, CA 95138-1056
Phone
(888) 688-4965
Fax
(408) 785-9847
NPI assigned
Feb 28, 2025
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Saint Don Niel Bautista ReyesNPI 1457804239
Title
Ceo
Phone
(702) 289-9797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

6090 Hellyer Ave Ste 150
San Jose, CA 95138-1056

Mailing address

6090 Hellyer Ave Ste 150
San Jose, CA 95138-1056
Phone (888) 688-4965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260203000483 CA DME Supplier - Medical Supply Company 1254819048 Practice locations: San Jose, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rehabtronix LLC6090 Hellyer Ave, San Jose, CA 95138-1358(888) 688-4965 Canes and/or Crutches|Power Operated Vehicles (Scooters)|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|Wheelchairs (Complex Rehabilitative Manual)|Wheelchairs (Complex Rehab Manua… Does not accept assignmentParticipating since Jun 21, 2016

National Provider Directory

National Provider Directory

Locations

6090 Hellyer Ave
Ste 150
San Jose, CA 95138
Phone (888) 688-4965

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1043017734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6090 HELLYER AVE STE 150",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381056",
            "telephone_number": "888-688-4965",
            "fax_number": "408-785-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6090 HELLYER AVE STE 150",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381056",
            "telephone_number": "888-688-4965",
            "fax_number": "408-785-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABTRONIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "SAINT DON NIEL",
        "authorized_official_middle_name": "BAUTISTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-289-9797"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.