Bobby A Reno, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA24661 Issued in FL

Practice address

4380 SW 62ND Loop
Ocala, FL 34474-2708

Phone

(352) 572-5937

NPI assigned

Oct 2, 2020

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1043817133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 WEDGEWOOD LN",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321629301",
            "telephone_number": "352-674-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 SW 62ND LOOP",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344742708",
            "telephone_number": "352-572-5937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9848 SW 110th St",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344817651",
            "country_code": "US",
            "telephone_number": "352-854-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENO",
        "first_name": "BOBBY",
        "middle_name": "A",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA24661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renal Treatment Centers-Southeast, LP. (Ocala Regional Kidney Center - East)
• Erin E Renaud
• Renew Psychiatry
• Renewal Primary Care, LLC
• Renewed Life Therapy
• Renuka Swaminathan M.D.,P.a
• Tatiana Yeva Renz
• Aguinaldo Lumain Repiedad III, PTA
• Elaine Iligan Repiedad
• Jodi Repko, NP

• Physical Therapy Assistant in Ocala, FL
• Providers in Ocala, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.