Individual provider Active NPI

Roel Reyna, COTA

  • Occupational Therapy Assistant
  • Pharr, TX
National Provider Identifier
1073015830
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
210126 Issued in TX
Practice address
6422 S Cage Blvd Ste B
Pharr, TX 78577-6957
Phone
(956) 475-3681
NPI assigned
Mar 7, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 210126 TX Primary

Addresses

Primary practice location

6422 S Cage Blvd Ste B
Pharr, TX 78577-6957

Mailing address

6422 S Cage Blvd Ste B
Pharr, TX 78577-6957
Phone (956) 475-3681

Other practice location 1

6422 S Cage Blvd Ste A
Pharr, TX 78577-6957
Phone (956) 783-7111

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

LicenseStateTypeSpecialty
210126TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Risas Y Rayones Homecare Services LLC Past Accepting new patients
Risas Y Rayones Homecare Services LLC Past Accepting new patients
Risas Y Rayones Rehab Services Past Accepting new patients
Risas Y Rayones Homecare Services PastSince Dec 29, 2019 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073015830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 S CAGE BLVD STE B",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785776957",
            "telephone_number": "956-475-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 S CAGE BLVD STE B",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785776957",
            "telephone_number": "956-475-3681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6422 S Cage Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Pharr",
            "state": "TX",
            "postal_code": "785776957",
            "country_code": "US",
            "telephone_number": "956-783-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNA",
        "first_name": "ROEL",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "210126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pharr, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.