Reyes Active Body Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

REYES ACTIVE BODY CHIROPRACTIC PLLC

Practice address

125 Rolling Ridge Dr
State College, PA 16801-7675

Phone

(215) 855-5815

NPI assigned

Feb 22, 2018

Last updated

Oct 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew D Reyes, DCNPI 1396166369

Title

Chiropractor

Phone

(814) 308-9352

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Reyes, D.C.

  • Chiropractor
  • State College, PA
  • NPI 1396166369
  Authorized official Same address or phone

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1487155701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ROLLING RIDGE DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017675",
            "telephone_number": "814-308-9352",
            "fax_number": "814-690-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ROLLING RIDGE DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017675",
            "telephone_number": "215-855-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYES ACTIVE BODY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "814-308-9352",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Reid
• Hans D. Reisinger, PA-C
• Andrew J Renaud, DPT
• Beth Gabrielle Resko, LCSW
• Restore Eye Care, P.C.
• Annie Reyes, D.C.
• Matthew Reyes, D.C.
• Eric L Rhodes, MA, LPC, NCC
• Helen C Rhodes, CRNA
• Philip L Rice, M.D.

• Chiropractor in State College, PA
• Providers in State College, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.