Active NPI
Cynthia Reese, DPT
- Physical Therapist
- Pembroke Pines, FL
National Provider Identifier
1376172247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18452
- Practice address
- 703 N Flamingo Rd
Pembroke Pines, FL 33028-1006 - Phone
- (954) 844-9816
- NPI assigned
- Apr 3, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 18452 | FL | Primary |
Addresses
Primary practice location
703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Mailing address
4095 Augusta Ave
Hollywood, FL 33026-4967
Phone (954) 562-6194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT-18452 | Other | FL | PHYSICAL THERAPY LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mhs.net |
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 |
|---|---|---|---|
| 18452 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585872000000",
"number": "1376172247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4095 AUGUSTA AVE",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330264967",
"telephone_number": "954-562-6194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 N FLAMINGO RD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281006",
"telephone_number": "954-844-9816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "CYNTHIA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-03",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "18452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "PT-18452",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "mhs.net",
"affiliation": "N",
"address_1": "703 N Flamingo Rd",
"city": "Pembroke Pines",
"state": "FL",
"country_code": "US",
"postal_code": "330281006",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.