Individual provider Active NPI

Wilfredo Nicolas Reyes, P.T.

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1457509986
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1185920 Issued in TX
Practice address
3406 Ovids Orchard Dr
Houston, TX 77025-1904
Phone
(832) 906-9818
NPI assigned
Sep 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1185920 TX Primary
Physical Therapist 225100000X 34276 CA

Addresses

Primary practice location

3406 Ovids Orchard Dr
Houston, TX 77025-1904

Mailing address

3406 Ovids Orchard Dr
Houston, TX 77025-1904
Phone (832) 906-9818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220901002729 TX Practitioner - Physical Therapist in Private Practice 1850775388 Reassigns benefits to 3 organizations
I20230706000920 CA Practitioner - Physical Therapist in Private Practice 1850775388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Practice addresses (Care Compare)

24802 Kingsland Blvd
Katy, TX 77494-6400
Phone (281) 645-9956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34276CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Care Southeast, LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jun 18, 2025 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jun 18, 2025 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist Current Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince May 8, 2023 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Jan 24, 2024 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Jan 24, 2024 Accepting new patients

Locations

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

3760 Convoy St
Ste 101
San Diego, CA 92111
Phone (858) 264-1434

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

127 W Broad St
Ste 850
Lake Charles, LA 70601
Phone (337) 310-8500

1850 E League City Pkwy
League City, TX 77573
Phone (364) 413-6110

265 Plateau Dr
McKinney, TX 75069
Phone (512) 277-6405

7801 N Richland Blvd
North Richlnd Hls, TX 76180
Phone (469) 609-9044

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1457509986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 OVIDS ORCHARD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251904",
            "telephone_number": "832-906-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 OVIDS ORCHARD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251904",
            "telephone_number": "832-906-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "WILFREDO",
        "middle_name": "NICOLAS",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-09",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1185920",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34276",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.