Miram Reyna, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

213407 Issued in TX

Practice address

2015 W 3 Mile Line, Ste 7
Mission, TX 78573-7857

Phone

(956) 424-7555

Fax

(956) 424-7805

NPI assigned

Aug 30, 2018

Last updated

Aug 30, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Bright Therapy Solutions, LLC

  • Speech-Language Pathologist
  • Mission, TX
  • NPI 1164912200
  NPD (past)

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1275015968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 W 3 MILE LINE, STE 7",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 W 3 MILE LINE, STE 7",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785737857",
            "telephone_number": "956-424-7555",
            "fax_number": "956-424-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNA",
        "first_name": "MIRAM",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "213407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY EXAMINERS",
            "identifier": "213407",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Amber Reyes
• Jose Guadalupe Reyes
• Maricely Reyes
• Miguel Reyes, LPC
• Sergio Reyes Jr.
• Kim C Reynolds, MAT, LAT, ATC
• RF Fast Services Inc
• RGV Compassionate Care Providers LLC
• RGV Elder Health Systems, Inc (Corssroads Assisted Living)
• RGV Elder Health Systems, Inc. (Best Health Services)

• Occupational Therapy Assistant in Mission, TX
• Providers in Mission, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.