Jay Joseph Abando Reynoso

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24491 Issued in MD

Practice address

300 Mill Pond LN Apt 115
Salisbury, MD 21804-2113

Phone

(443) 944-0037

Fax

(443) 210-2473

NPI assigned

Dec 27, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peninsula Physical Therapy LLCGroup PAC ID 4880945641, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peninsula Physical Therapy, LLC

  • Physical Therapist
  • Salisbury, MD
  • NPI 1639662745
  Medicare reassignment Care Compare group NPD
• Peninsula Physical Therapy, LLC

  • Physical Therapist
  • Salisbury, MD
  • NPI 1598226821
  NPD (past)

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1346586039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E NAYLOR MILL RD",
            "address_2": "UNIT F",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218042308",
            "telephone_number": "757-710-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MILL POND LN APT 115",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218042113",
            "telephone_number": "443-944-0037",
            "fax_number": "443-210-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOSO",
        "first_name": "JAY JOSEPH",
        "middle_name": "ABANDO",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-27",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "009218",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002942",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Renault
• Katelin A Restein, PA
• Restorative Roots Counseling, LLC
• Gabriel Restrepo, CRNA
• Retina Consultants of Delmarva PA
• Lorielyn T Reynoso
• Jane Dykes Rhoat, CRTT
• James Alberto Rial, M.D.
• Thomas Joseph Riccio, M.D.
• Richard C. Gunter, Crna,PA

• Physical Therapist in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.