Mary Kaitlin Felicia Gascon Rejoso

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040751 Issued in NY

Practice address

7345 Woodland Dr Ste C
Indianapolis, IN 46278-1737

Phone

(317) 286-2885

Fax

(317) 536-3097

NPI assigned

Jul 12, 2018

Last updated

Jul 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY, CT2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Evolution Physical Therapy LLCGroup PAC ID 5092084244, 9 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evolution Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Greenwich, CT
  • NPI 1659805117

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Elite Physical Therapy and Rehabilitation LLC

  • Physical Therapist
  • Purchase, NY
  • NPI 1508986464
  Medicare reassignment NPD

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1346726379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 WOODLAND DR STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781737",
            "telephone_number": "317-286-2885",
            "fax_number": "317-536-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 WOODLAND DR STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781737",
            "telephone_number": "317-286-2885",
            "fax_number": "317-536-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REJOSO",
        "first_name": "MARY KAITLIN FELICIA",
        "middle_name": "GASCON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Raquel Reiter, MD, PHD
• Stacey Reith, PT
• Randy Reitz
• Rylee Reitz
• Sarah Reitz
• Ronaldson Rejouis
• Anastasia M Rekhter, LMFT
• Maryann Reklau, CPNP
• Reliable Healthcare Professionals LLC (Reliable HC Pros)
• Reliable Medical Courier and Transportation Services LLC

• Physical Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.