Maria Antonia Reyes Tadeo, LMBT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

22671 Issued in NC

Practice address

800 Shipyard Blvd Ste 9
Wilmington, NC 28412-6490

Phone

(910) 726-7106

NPI assigned

Aug 24, 2026

Last updated

Aug 24, 2026By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1255248597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 CLOVER RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SHIPYARD BLVD STE 9",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126490",
            "telephone_number": "910-726-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES TADEO",
        "first_name": "MARIA",
        "middle_name": "ANTONIA",
        "credential": "LMBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "22671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revival Medical Weight Loss Clinic
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• Karen Rey, FNP-BC
• Kimberly Marie Rey, LCSWA
• Holly Reyes, DO
• Morganne Leigh Reyes, FNP
• Caroline Gooch Reynolds, PA-C
• Jessica Reynolds, OTR/L
• Rachel Renee Reynolds, CSAC-I

• Massage Therapist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.