Individual provider Active NPI

Regina Marie Reuillon, MSPT

  • Physical Therapist
  • Stuart, FL
National Provider Identifier
1467407452
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT12992 Issued in FL
Practice address
4287 SE Federal Hwy
Stuart, FL 34997-4936
Phone
(772) 223-3440
Fax
(772) 221-3373
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT12992 FL Primary

Addresses

Primary practice location

4287 SE Federal Hwy
Stuart, FL 34997-4936

Mailing address

4287 SE Federal Hwy
Stuart, FL 34997-4936
Phone (772) 223-3440

Other identifiers 1

IdentifierTypeStateIssuer
Y7677OtherFLBCBS

Other names 1

  • Regina Marie Ricci Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090407000596 FL Practitioner - Physical Therapist in Private Practice 2062569114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gina's Physical Therapy IncGroup PAC ID 5698822740, 3 clinicians

Practice addresses (Care Compare)

4287 SE Federal Hwy
Stuart, FL 34997-4936
Phone (772) 225-8908

Merit-based Incentive Payment System (MIPS)

Final score
90.45 of 100Reported as group
Quality
96.19
Improvement activities
40
Cost
73.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gina's Physical Therapy, Inc Physical Therapist CurrentSince Jul 1, 2003 Accepting new patients

Locations

1609 NW Federal Hwy
Stuart, FL 34994
Phone (772) 225-8908

4287 SE Federal Hwy
Stuart, FL 34997
Phone (772) 223-3440

Organizations & group practices 1

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1467407452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4287 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349974936",
            "telephone_number": "772-223-3440",
            "fax_number": "772-221-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4287 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349974936",
            "telephone_number": "772-223-3440",
            "fax_number": "772-221-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUILLON",
        "first_name": "REGINA",
        "middle_name": "MARIE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT12992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y7677",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "RICCI",
            "middle_name": "MARIE",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.