Tyler Christian Reinoso, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA004071 Issued in GA

Practice address

3480 Keith Bridge Rd Ste C2
Cumming, GA 30041-5570

Phone

(678) 455-8773

Fax

(678) 455-8775

NPI assigned

Aug 6, 2018

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1316425879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-7217",
            "fax_number": "423-362-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 KEITH BRIDGE RD STE C2",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415570",
            "telephone_number": "678-455-8773",
            "fax_number": "678-455-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINOSO",
        "first_name": "TYLER",
        "middle_name": "CHRISTIAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA004071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Lauren Reid
• Lauren Elizabeth Reid, MD
• Erick Reihs
• Charity Reilly, LCSW
• Kevin Lynn Reiman, D.C.
• John Reitz
• Relief Flow LLC
• Russell G Remalia, DO
• Renal Carepartners of Cumming LLC
• Renee L Waters, MD PC

• Physical Therapy Assistant in Cumming, GA
• Providers in Cumming, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.