Individual provider Active NPI

Larry David Reib, C.O.

  • Orthotist
  • Sacramento, CA
National Provider Identifier
1083200844
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
CO001506
Practice address
4811 Chippendale Drive
Suite 208
Sacramento, CA 95841-2251
Phone
(916) 595-1310
Fax
(916) 344-8045
NPI assigned
Dec 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X CO001506 Primary

Addresses

Primary practice location

4811 Chippendale Drive
Suite 208
Sacramento, CA 95841-2251

Mailing address

4811 Chippendale Drive
Suite 208
Sacramento, CA 95841-2251
Phone (916) 595-1310

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Orthotics & Prosthetics Inc. Current Accepting new patients
Enhance by Linda Reib Inc. Orthotist CurrentSince Dec 22, 2020 Accepting new patients

Locations

4811 Chippendale Dr
Ste 208
Sacramento, CA 95841
Phone (916) 595-1310

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1083200844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 CHIPPENDALE DRIVE",
            "address_2": "SUITE 208",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958412251",
            "telephone_number": "916-595-1310",
            "fax_number": "916-344-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 CHIPPENDALE DRIVE",
            "address_2": "SUITE 208",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958412251",
            "telephone_number": "916-595-1310",
            "fax_number": "916-344-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIB",
        "first_name": "LARRY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "C.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": "CO001506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.