Individual provider Active NPI

Reyna Buzon, DPT

  • Physical Therapist
  • Turlock, CA
National Provider Identifier
1518614684
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301840 Issued in CA
Practice address
1801 Colorado Ave BLDG 2
Turlock, CA 95382-2706
Phone
(209) 216-3360
NPI assigned
Mar 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 301840 CA Primary

Addresses

Primary practice location

1801 Colorado Ave BLDG 2
Turlock, CA 95382-2706

Mailing address

1801 Colorado Ave Ste 320
Turlock, CA 95382-2708
Phone (209) 216-3360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220331002005 CA Practitioner - Physical Therapist in Private Practice 2163818030 Reassigns benefits to 1 organization
Practice locations: Turlock, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Tower Physical Therapy, IncGroup PAC ID 0547244030, 7 clinicians

Practice addresses (Care Compare)

1801 Colorado Ave
Suite 320
Turlock, CA 95382-2706
Phone (209) 216-3360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
301840CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Physical Therapy, Inc Physical Therapist CurrentSince Mar 21, 2022 Accepting new patients
Tower Physical Therapy, Inc Physical Therapist CurrentSince Mar 21, 2022 Accepting new patients

Locations

1768 Mitchell Rd
Ste 305
Ceres, CA 95307
Phone (209) 216-3360

1801 Colorado Ave
Bldg 2
Turlock, CA 95382
Phone (209) 216-3360

1801 Colorado Ave
Ste 320
Turlock, CA 95382
Phone (209) 216-3360

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.

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1518614684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 COLORADO AVE STE 320",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822708",
            "telephone_number": "209-216-3360",
            "fax_number": "209-216-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 COLORADO AVE BLDG 2",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822706",
            "telephone_number": "209-216-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUZON",
        "first_name": "REYNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.