Individual provider Active NPI

Marie Anne Reyes, RPT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1073837282
Registry record updated Sep 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028147-1 Issued in NY
Practice address
1215 Stratford Ave
Suite 13
Bronx, NY 10472-2501
Phone
(718) 618-0268
Fax
(718) 618-0269
NPI assigned
Mar 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 028147-1 NY Primary

Addresses

Primary practice location

1215 Stratford Ave
Suite 13
Bronx, NY 10472-2501

Mailing address

1215 Stratford Ave
Suite 13
Bronx, NY 10472-2501
Phone (718) 618-0268

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Park Physical Therapy Services PC Physical Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442707200000",
    "number": "1073837282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 STRATFORD AVE",
            "address_2": "SUITE 13",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722501",
            "telephone_number": "718-618-0268",
            "fax_number": "718-618-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 STRATFORD AVE",
            "address_2": "SUITE 13",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722501",
            "telephone_number": "718-618-0268",
            "fax_number": "718-618-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "MARIE ANNE",
        "name_prefix": "Miss",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2015-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028147-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2015; 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.