Gabriel Reyes III, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

216876 Issued in TX

Practice address

962 Coronado Blvd
Universal City, TX 78148-3228

Phone

(210) 490-3900

NPI assigned

May 2, 2023

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• TLC Kid'S Therapy

  • Occupational Therapist
  • San Antonio, TX
  • NPI 1114164431
  NPD (past)

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1396434825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 TENEVA CV",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781084207",
            "telephone_number": "210-954-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 CORONADO BLVD",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483228",
            "telephone_number": "210-490-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "GABRIEL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "216876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Deanne Reeves, MS, CCC-SLP
• Sheila R. Reifle, M.D.
• Rene Resendez
• Restoring Peace Counseling Center LLC
• Monique Denise Reyes-Lester, MSN, APRN, PMHNP-BC
• Julia Tatiana Reyes, RBT
• Hayley Richardson
• Carissa Rittberg, DO
• Teegan Roach
• Robert W. Henslee Jr.

• Occupational Therapy Assistant in Universal City, TX
• Providers in Universal City, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.