Daniel Reizis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01350900 Issued in NJ

Practice address

20 Country Club LN
Colts Neck, NJ 07722-2222

Phone

(908) 670-7573

Fax

(855) 678-8887

NPI assigned

Jul 12, 2010

Last updated

Jan 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ, PA, NY, VA, DC, CO, SD, NM, CT, UT, OR, TX12 enrollments

Enrollment records 12

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prestige Rehab TX PLLCGroup PAC ID 4385136266, 7 clinicians

Prestige Rehab LLCGroup PAC ID 3375936495, 59 clinicians

Prestige Rehab ColoradoGroup PAC ID 1759822265, 12 clinicians

Prestige Rehab VA PLLCGroup PAC ID 1951841758, 9 clinicians

Prestige Rehab CT PLLCGroup PAC ID 7416487152, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Prestige Rehab LLC

  • Physical Therapist
  • Colts Neck, NJ
  • NPI 1750032553

  CO, DC, NY, PA, SD, VA

  Medicare reassignment Care Compare group NPD Authorized official
• Prestige Rehab Colorado

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1972333961
  Medicare reassignment Care Compare group NPD Authorized official
• Prestige Rehab CT PLLC

  • Physical Therapist
  • Hartford, CT
  • NPI 1619783495
  Medicare reassignment Care Compare group NPD Authorized official
• Prestige Rehab TX PLLC

  • Physical Therapist
  • McKinney, TX
  • NPI 1053271502
  Medicare reassignment Care Compare group NPD Authorized official
• Prestige Rehab VA PLLC

  • Physical Therapist
  • Henrico, VA
  • NPI 1588497077

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Prestige Rehab NM LLC

  • Physical Therapist
  • Albuquerque, NM
  • NPI 1821821836
  Medicare reassignment NPD Authorized official
• Prestige Rehab Or LLC

  • Physical Therapy Clinic/Center
  • Portland, OR
  • NPI 1568277721

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Prestige Rehab PA PLLC

  • Physical Therapist
  • Pittsburgh, PA
  • NPI 1548093040
  Medicare reassignment NPD Authorized official
• Prestige Rehab Ut PLLC

  • Physical Therapy Clinic/Center
  • Orem, UT
  • NPI 1114732377

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Attain Physical Therapy

  • Physical Therapist
  • Shrewsbury, NJ
  • NPI 1609406438
  Medicare reassignment NPD
• Advanced Medical Associates

  dba Advanced Physical Medicine& Rehabilitation

  • Orthopedic Chiropractor
  • Red Bank, NJ
  • NPI 1114336450
  NPD (past) Authorized official
• Advanced Medical Supply

  • Customized Equipment (DME)
  • Colts Neck, NJ
  • NPI 1467790634
  NPD (past) Authorized official

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1174835755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COUNTRY CLUB LN",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222222",
            "telephone_number": "908-670-7573",
            "fax_number": "855-678-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COUNTRY CLUB LN",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222222",
            "telephone_number": "908-670-7573",
            "fax_number": "855-678-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIZIS",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032533",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "030110",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "13821",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01350900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "11748355755",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1649561812",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Raymond, M.D.
• Razum LLC
• Paula V Redhead, L.AC,C.A,DIPL O.M
• Reflections @ Colts Neck
• Alexis Reisher
• Ilana S Resnick, MA
• Christina Rizzolo
• Holly J Rolenc, M.D.
• Frosty Romano
• Harlene Joy Ross, LCSW

• Physical Therapist in Colts Neck, NJ
• Providers in Colts Neck, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.