Individual provider Active NPI

Mark Bryan Reyes, PT

  • Physical Therapist
  • Brownsville, TX
National Provider Identifier
1467724849
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1211823 Issued in TX
Practice address
35 Business Dr
Suite C
Brownsville, TX 78521-4499
Phone
(956) 572-1908
Fax
(888) 588-3234
NPI assigned
Feb 1, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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 1211823 TX Primary

Addresses

Primary practice location

35 Business Dr
Suite C
Brownsville, TX 78521-4499

Mailing address

35 Business Dr
Suite C
Brownsville, TX 78521-4499
Phone (956) 572-1908

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
1211823TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manna Pediatric Therapy Plus Physical Therapist Past Accepting new patients

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": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1467724849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BUSINESS DR",
            "address_2": "SUITE C",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214499",
            "telephone_number": "956-572-1908",
            "fax_number": "888-588-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BUSINESS DR",
            "address_2": "SUITE C",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214499",
            "telephone_number": "956-572-1908",
            "fax_number": "888-588-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "MARK",
        "middle_name": "BRYAN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1211823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.