Individual provider Active NPI

Gloria Soto Reyes, PT

  • Physical Therapist
  • Danville, CA
National Provider Identifier
1467634634
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT11877 Issued in CA
Practice address
822 Hartz Way
#105
Danville, CA 94526-3433
Phone
(925) 831-8559
NPI assigned
Nov 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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 PT11877 CA Primary

Addresses

Primary practice location

822 Hartz Way
#105
Danville, CA 94526-3433

Mailing address

3150 Crow Canyon PL Ste 110
San Ramon, CA 94583-1716
Phone (925) 831-8559

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

LicenseStateTypeSpecialty
PT11877CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Action in Motion Inc Physical Therapist CurrentSince Mar 12, 2023 Accepting new patients

Locations

3150 Crow Canyon Pl
Ste 110
San Ramon, CA 94583
Phone (855) 295-2327

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": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1467634634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 CROW CANYON PL STE 110",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831716",
            "telephone_number": "925-831-8559",
            "fax_number": "925-831-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 HARTZ WAY",
            "address_2": "#105",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263433",
            "telephone_number": "925-831-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "GLORIA",
        "middle_name": "SOTO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2023-03-10",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT11877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.