Active NPI
Katherine Mae Miranda Reyes, PT
- Physical Therapist
- Seguin, TX
National Provider Identifier
1487021903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1217375
- Practice address
- 1439 Barnes Dr Apt 2107
Seguin, TX 78155-5363 - Phone
- (916) 335-0622
- NPI assigned
- Sep 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1217375 | TX | Primary |
Addresses
Primary practice location
1439 Barnes Dr Apt 2107
Seguin, TX 78155-5363
Mailing address
1439 Barnes Dr Apt 2107
Seguin, TX 78155-5363
Phone (916) 335-0622
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 |
|---|---|---|---|
| 1217375 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1487021903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1439 BARNES DR APT 2107",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781555363",
"telephone_number": "916-335-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1439 BARNES DR APT 2107",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781555363",
"telephone_number": "916-335-0622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "KATHERINE MAE",
"middle_name": "MIRANDA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-01",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1217375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seguin, TX
- Kyle Anthony Reinen
- Jennifer Reinhard, MCD, CCC/SLP
- Remarkable Healthcare of Seguin, LP (Remarkable Healthcare of Seguin)
- Tiffany Remsing, M.D.
- Renal Treatment Centers-Southeast, LP. (Guadalupe Dialysis)
- Kelsey Michelle Reyes, DDS
- Genevieve L Richards
- Clayton Arthur Richardson, OD
- David M Rider, M.D.
- James Anthony Rider, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.