Active NPI
Ria Reyes Johnson, PT, DPT
- Physical Therapist
- Harrisburg, PA
National Provider Identifier
1134559289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 027415
- Practice address
- 1205 S 28TH St
Harrisburg, PA 17111-1046 - Phone
- (717) 565-7000
- NPI assigned
- Nov 26, 2013
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16611 | NC | |
| Physical Therapist | 225100000X | 62037227 | NY | |
| Physical Therapist | 225100000X | 11329 | CT | |
| Physical Therapist | 225100000X | 2305209989 | VA | |
| Physical Therapist | 225100000X | 027415 | PA | Primary |
Addresses
Primary practice location
1205 S 28TH St
Harrisburg, PA 17111-1046
Mailing address
707 Hanover MNR # D203
Carlisle, PA 17013-2030
Other names 1
- Ria Z Reyes
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 |
|---|---|---|---|
| 16611 | NC | MD | Physical Therapist |
| 62037227 | NY | MD | Physical Therapist |
| 027415 | PA | MD | Physical Therapist |
| 2305209989 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1134559289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 HANOVER MNR # D203",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170132030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 S 28TH ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171111046",
"telephone_number": "717-565-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "RIA",
"middle_name": "REYES",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-26",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "16611",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "62037227",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "11329",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305209989",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "027415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RIA",
"last_name": "REYES",
"middle_name": "Z",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.