Active NPI
Catrina Reyes
- Physical Therapist
- Bryan, TX
National Provider Identifier
1356752109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 5164 Maroon Creek Dr
Bryan, TX 77802-1440 - Phone
- (954) 812-6256
- NPI assigned
- May 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1257566 | TX | |
| Physical Therapist | 225100000X | IL | Primary |
Addresses
Primary practice location
5164 Maroon Creek Dr
Bryan, TX 77802-1440
Mailing address
5940 W Sample Rd
Apt 105
Coral Springs, FL 33067-3254
Phone (954) 752-6188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1257566 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1356752109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5940 W SAMPLE RD",
"address_2": "APT 105",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330673254",
"telephone_number": "954-752-6188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5164 MAROON CREEK DR",
"city": "BRYAN",
"state": "TX",
"postal_code": "778021440",
"telephone_number": "954-812-6256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "CATRINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1257566",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.