Active NPI
David Reyes
- Physical Therapist
- Bridgewater, NJ
National Provider Identifier
1063136067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02123800
- Practice address
- 1 Patriots Park
Bridgewater, NJ 08807-3454 - Phone
- (908) 203-5972
- NPI assigned
- Oct 3, 2022
- Last updated
- Oct 3, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA02123800 | NJ | Primary |
Addresses
Primary practice location
1 Patriots Park
Bridgewater, NJ 08807-3454
Mailing address
982 Old York Rd
Branchburg, NJ 08853-4252
Phone (908) 334-2873
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02123800 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somerset Medical Center | Past | Accepting new patients | |
| Robert Wood Johnson University Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Robert Wood Johnson University Hospital Somerset
- Psychiatric Hospital Unit
- Somerville, NJ
- NPI 1922428796
-
dba Steeplechase Boutique
- Prosthetic/Orthotic Supplier
- Somerville, NJ
- NPI 1528209731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1063136067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "982 OLD YORK RD",
"city": "BRANCHBURG",
"state": "NJ",
"postal_code": "088534252",
"telephone_number": "908-334-2873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PATRIOTS PARK",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088073454",
"telephone_number": "908-203-5972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02123800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.