Mary M. Reischl, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10257 Issued in CA

Practice address

1151 Puerta del Sol
Suite B
San Clemente, CA 92673-6311

Phone

(949) 481-0015

Fax

(949) 481-5611

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Signature Physical Therapy P C

  • Physical Therapist
  • San Clemente, CA
  • NPI 1457430688
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104030469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 VIA AGUILA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926735670",
            "telephone_number": "949-361-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 PUERTA DEL SOL",
            "address_2": "SUITE B",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736311",
            "telephone_number": "949-481-0015",
            "fax_number": "949-481-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISCHL",
        "first_name": "MARY",
        "middle_name": "M.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Reed
• David William Reenders, RPT
• Mandy Rae Reese, OTR/L
• Stephanie Marie Reese, PHD
• Reimagine Network
• Paul Reischl
• Elline Reiter
• Linda Renfroe, LMFT
• Pamela Jean Renk, MFT
• Christina J Restrepo, MS, OTR/L

• Physical Therapist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.