Active NPI
Leopoldo L Reyes, P.T.
- Physical Therapist
- Los Banos, CA
National Provider Identifier
1497045884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT37729
- Practice address
- 312 W J St
Los Banos, CA 93635-4073 - Phone
- (209) 827-6178
- NPI assigned
- Apr 19, 2011
- Sex
- Male
- Sole proprietor
- No
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 | PT37729 | CA | Primary |
Addresses
Primary practice location
312 W J St
Los Banos, CA 93635-4073
Mailing address
312 W J St
Los Banos, CA 93635-4073
Phone (209) 827-6178
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT37729 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Hospice Care, Inc. | Past | Accepting new patients | |
| Central Valley Cardiovascular Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community Based Hospice Care Agency
- Hayward, CA
- NPI 1700405453
-
- Medical Specialty Clinic/Center
- Turlock, CA
- NPI 1962750224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303171200000",
"number": "1497045884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 W J ST",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936354073",
"telephone_number": "209-827-6178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 W J ST",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936354073",
"telephone_number": "209-827-6178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "LEOPOLDO",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-19",
"last_updated": "2011-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT37729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Banos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.