Glady Reyes, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

056.002994 Issued in IL

Practice address

1410 State St
Ottawa, IL 61350-4735

Phone

(630) 408-3822

Fax

(815) 313-5283

NPI assigned

Feb 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Small Hands Building Blocks, Inc.

  • Pediatric Occupational Therapist
  • Ottawa, IL
  • NPI 1740776715

  Developmental Therapist

  NPD (past) Authorized official

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1497898191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 STATE ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613504735",
            "telephone_number": "630-408-3822",
            "fax_number": "815-313-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 STATE ST",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613504735",
            "telephone_number": "630-408-3822",
            "fax_number": "815-313-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "GLADY",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.002994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiation Oncology of Northern Illinois LLC
• Rebecca Anne Ralston, LCSW
• Krzysztof Ratajczak, MPT
• Reach Counseling Inc.
• Kathryn Frances Reithal-Makeever, M.S., CCC-SLP
• Rezin Orthopedic and Sports Medicine, SC (Vital Care Physical Therapy)
• Rezin Orthopedic and Sports Medicine, SC
• Rezin Orthopedics and Sports Medicine, SC
• Richard a Ewald and William L Wrobel DDS LTD
• Julia Rae Richards, M.S.,CCC-SLP/L

• Pediatric Occupational Therapist in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.