Individual provider Active NPI

Linda Diane Reed, DPT

  • Physical Therapist
  • Simi Valley, CA
National Provider Identifier
1265692198
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6095 Issued in CA
Practice address
2315 Kuehner Dr
Suite 115
Simi Valley, CA 93063-3900
Phone
(805) 823-8200
Fax
(805) 823-8208
NPI assigned
Jun 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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 PT6095 CA Primary

Addresses

Primary practice location

2315 Kuehner Dr
Suite 115
Simi Valley, CA 93063-3900

Mailing address

2315 Kuehner Dr
Suite 115
Simi Valley, CA 93063-3900
Phone (805) 823-8200

Other practice location 1

68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130003629 NV Practitioner - Physical Therapist in Private Practice 7012073083 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT6095CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 7, 2023 Accepting new patients
North Carolina Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 6, 2021 Accepting new patients
Sterling Provider Services Inc. Physical Therapist PastSince Jan 10, 2012 Accepting new patients
Comprehensive Therapeutics Physical Therapy, Inc. Physical Therapist PastSince Nov 12, 2001 Accepting new patients
JM Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

5940 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 203-1964

Organizations & group practices 5

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": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1265692198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 KUEHNER DR",
            "address_2": "SUITE 115",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633900",
            "telephone_number": "805-823-8200",
            "fax_number": "805-823-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 KUEHNER DR",
            "address_2": "SUITE 115",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633900",
            "telephone_number": "805-823-8200",
            "fax_number": "805-823-8208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "LINDA",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT6095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.