Active NPI
Desiree Reyes
- Occupational Therapy Assistant
- Louisville, KY
National Provider Identifier
1437587540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- A5483
- Practice address
- 9 Maple CT
Louisville, KY 40214-1413 - Phone
- (714) 408-8511
- NPI assigned
- Oct 29, 2013
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | A5483 | KY | Primary |
Addresses
Primary practice location
9 Maple CT
Louisville, KY 40214-1413
Mailing address
9 Maple CT
Louisville, KY 40214-1413
Phone (714) 408-8511
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2430 | Other | CA | CALIFORNIA BOARD OF OCCUPATIONAL THERAPY |
| A5483 | Other | KY | KENTUCKY BOARD OF LICENSURE FOR OCCUPATIONAL THERAPY |
| 303236 | Other | NBCOT |
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 |
|---|---|---|---|
| A5483 | KY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383004800000",
"number": "1437587540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MAPLE CT",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402141413",
"telephone_number": "714-408-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 MAPLE CT",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402141413",
"telephone_number": "714-408-8511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "DESIREE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-29",
"last_updated": "2013-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KY",
"license": "A5483",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF OCCUPATIONAL THERAPY",
"identifier": "2430",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BOARD OF LICENSURE FOR OCCUPATIONAL THERAPY",
"identifier": "A5483",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT",
"identifier": "303236",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.