Jaidee Mae Reyes, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

25479 Issued in CA

Practice address

1582 W San Marcos Blvd Ste 105B
San Marcos, CA 92078-4081

Phone

(562) 884-2982

NPI assigned

Feb 6, 2019

Reactivated

Jul 5, 2024

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 CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bewell Home Physical Therapy P CGroup PAC ID 9335460351, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bewell Home Physical Therapy P C

  • Physical Therapy Clinic/Center
  • San Marcos, CA
  • NPI 1831582592
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1053876797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30683 RATTLE DANCE WAY",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925849329",
            "telephone_number": "562-884-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1582 W SAN MARCOS BLVD STE 105B",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784081",
            "telephone_number": "562-884-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "JAIDEE MAE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "deactivation_date": "2024-06-21",
        "reactivation_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "25479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mireya Resendez
• Brene Breanna Resendiz Baltazar
• Christina Resendiz
• Revilla Chiropractic a Professional Corporation
• Russell S Revilla, D.C.
• Nancy Inge Reyes, CPSS, RAOD
• Ruby Reyes
• Veronica Reyes, MD
• Vianet Reyes
• Jacqueline Reyna Magana, B.A. ETHNIC STUDIES

• Occupational Therapist in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.