Individual provider Active NPI

Jaime Reyna, PT

  • Physical Therapist
  • Brownsville, TX
National Provider Identifier
1255487336
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1130755 Issued in TX
Practice address
871 Old Alice Rd
Suite 600
Brownsville, TX 78520-8268
Phone
(956) 541-2102
Fax
(956) 541-2502
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1130755 TX Primary

Addresses

Primary practice location

871 Old Alice Rd
Suite 600
Brownsville, TX 78520-8268

Mailing address

871 Old Alice Rd
Suite 600
Brownsville, TX 78520-8268
Phone (956) 541-2102

Other identifiers 1

IdentifierTypeStateIssuer
1130755OtherTXLICENSE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1130755TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Rehab Services Inc Physical Therapist Past Accepting new patients
Mercy Rehab Services Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1255487336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 OLD ALICE RD",
            "address_2": "SUITE 600",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208268",
            "telephone_number": "956-541-2102",
            "fax_number": "956-541-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 OLD ALICE RD",
            "address_2": "SUITE 600",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208268",
            "telephone_number": "956-541-2102",
            "fax_number": "956-541-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNA",
        "first_name": "JAIME",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1130755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1130755",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.