Mailyn Fajardo Reyes, O.T.R.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

013813 Issued in NY

Practice address

110-45 71 Rd Ste 1G
Forest Hills, NY 11375

Phone

(718) 593-4121

NPI assigned

May 1, 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

Other names 1

• Mrs. Mailyn C Fajardo Professional name

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.

• Total Rehab and Physical Therapy PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1306071733
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1104047943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 PUTNEY RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801817",
            "telephone_number": "646-244-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110-45 71 RD STE 1G",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-593-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "MAILYN",
        "middle_name": "FAJARDO",
        "name_prefix": "Mrs.",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "013813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAILYN",
            "last_name": "FAJARDO",
            "middle_name": "C",
            "prefix": "MRS.",
            "credential": "O.T.R.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rey Drugs Corp.
• Rey Pharmacy LLC
• Melody Rey, MHC-LP
• Carolyn Mariel Reyes
• Luis Francisco Tan Reyes IV, RPT
• Rosa Reyes
• Thomas Richard Reynolds, RPH
• Naomi Reynoso
• Wendy Reynoso
• Edvaldo Ribeiro

• Occupational Therapist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.