Lorielyn T Reynoso

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27674 Issued in MD

Practice address

720 E College Ave Ste 11
Salisbury, MD 21804-6651

Phone

(410) 603-9237

Fax

(443) 210-2829

NPI assigned

Nov 27, 2019

Sex

Female

Sole proprietor

No

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

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.

• Peninsula Physical Therapy, LLC

  • Physical Therapist
  • Salisbury, MD
  • NPI 1598226821
  NPD (past)

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1225674013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E COLLEGE AVE STE 11",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046651",
            "telephone_number": "410-603-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E COLLEGE AVE STE 11",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046651",
            "telephone_number": "410-603-9237",
            "fax_number": "443-210-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOSO",
        "first_name": "LORIELYN",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelin A Restein, PA
• Restorative Roots Counseling, LLC
• Gabriel Restrepo, CRNA
• Retina Consultants of Delmarva PA
• Jay Joseph Abando Reynoso
• Jane Dykes Rhoat, CRTT
• James Alberto Rial, M.D.
• Thomas Joseph Riccio, M.D.
• Richard C. Gunter, Crna,PA
• Richard D. Horsey MPT LLC.

• Physical Therapist in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.