Active NPI
Reowell Relos
- Physical Therapist
- Williamstown, MA
National Provider Identifier
1235416884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009092
- Practice address
- 25 Adams Rd
Williamstown, MA 01267-2928 - Phone
- (413) 458-2111
- NPI assigned
- Nov 10, 2011
- Last updated
- Nov 10, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009092 | CT | Primary |
Addresses
Primary practice location
25 Adams Rd
Williamstown, MA 01267-2928
Mailing address
1296 Crow Way
Apt 100
Casselberry, FL 32707-6464
Phone (413) 344-7502
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 |
|---|---|---|---|
| 009092 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1235416884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1296 CROW WAY",
"address_2": "APT 100",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327076464",
"telephone_number": "413-344-7502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 ADAMS RD",
"city": "WILLIAMSTOWN",
"state": "MA",
"postal_code": "012672928",
"telephone_number": "413-458-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RELOS",
"first_name": "REOWELL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-10",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "009092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamstown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.