Mildred Jean Reul, RPT,MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT29880 Issued in CA

Practice address

57616 Interlachen
La Quinta, CA 92253-5052

Phone

(760) 219-3312

NPI assigned

Apr 9, 2021

Last updated

Apr 9, 2021By the provider in NPPES

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

On the Move RehabGroup PAC ID 6709195316, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• On the Move Rehab

  • Physical Therapist
  • Cathedral City, CA
  • NPI 1356710925
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1164002671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57616 INTERLACHEN",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922535052",
            "telephone_number": "760-219-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57616 INTERLACHEN",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922535052",
            "telephone_number": "760-219-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUL",
        "first_name": "MILDRED",
        "middle_name": "JEAN",
        "credential": "RPT,MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Rehak, DDS
• Elli Reilander, ND
• Robert T Reinke Jr., MD
• Emily Katherine Rekuc, D.O.
• Retina Institute of California Medical Group, a California Medical Par
• Alesha Marie Reynoso
• Mabel Roxanne Ribas, MA, LMFT
• Stefie Ribeiro, O.D
• Lynette Ridder
• Paul Riedel

• Physical Therapist in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.