Active NPI
Rebeca Reyes
- Occupational Therapist
- Sacramento, CA
National Provider Identifier
1083235204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 20946
- Practice address
- 1610 Arden Way Ste 195
Sacramento, CA 95815-4035 - Phone
- (916) 649-1379
- NPI assigned
- Apr 28, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 20946 | CA | Primary |
Addresses
Primary practice location
1610 Arden Way Ste 195
Sacramento, CA 95815-4035
Mailing address
2253 Elkhorn Blvd
Rio Linda, CA 95673-3812
Other practice location 1
2425 Stockton Blvd
Sacramento, CA 95817-2215
Phone (916) 453-2000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20946 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588032000000",
"number": "1083235204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2253 ELKHORN BLVD",
"city": "RIO LINDA",
"state": "CA",
"postal_code": "956733812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 ARDEN WAY STE 195",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154035",
"telephone_number": "916-649-1379"
}
],
"practiceLocations": [
{
"address_1": "2425 Stockton Blvd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958172215",
"country_code": "US",
"telephone_number": "916-453-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES",
"first_name": "REBECA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-28",
"last_updated": "2020-04-28",
"certification_date": "2020-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "20946",
"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 Apr 28, 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.