Active NPI
Jennifer Reyna, MSED BIL CERTIFIED
- Developmental Therapist
- West Palm Beach, FL
National Provider Identifier
1508297441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 2541 Boundbrook Blvd
West Palm Beach, FL 33406-8648 - Phone
- (347) 602-1200
- NPI assigned
- Dec 3, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NY | ||
| Health Educator | 174H00000X | |||
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
2541 Boundbrook Blvd
West Palm Beach, FL 33406-8648
Mailing address
955 E 163Rd St Apt 4C
Bronx, NY 10459-4290
Phone (347) 602-1200
Other practice location 1
955 E 163rd St Apt 4C
Bronx, NY 10459-4290
Phone (347) 602-1200
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Reyna | 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.
-
- Early Intervention Provider Agency
- Bronx, NY
- NPI 1821428004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1508297441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 E 163RD ST APT 4C",
"city": "BRONX",
"state": "NY",
"postal_code": "104594290",
"telephone_number": "347-602-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2541 BOUNDBROOK BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334068648",
"telephone_number": "347-602-1200"
}
],
"practiceLocations": [
{
"address_1": "955 E 163rd St Apt 4C",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104594290",
"country_code": "US",
"telephone_number": "347-602-1200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNA",
"first_name": "JENNIFER",
"credential": "MSED BIL CERTIFIED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-03",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.