Individual provider Active NPI

Reuben Jay Barrion Raynes, OT

  • Occupational Therapist
  • Bakersfield, CA
National Provider Identifier
1548839145
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT22185 Issued in CA
Practice address
5337 Truxtun Ave
Bakersfield, CA 93309-0641
Phone
(661) 328-0650
Fax
(661) 328-0654
NPI assigned
Jun 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT22185 CA Primary

Addresses

Primary practice location

5337 Truxtun Ave
Bakersfield, CA 93309-0641

Mailing address

5337 Truxtun Ave
Bakersfield, CA 93309-0641
Phone (661) 328-0650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210802001778 CA Practitioner - Occupational Therapist in Private Practice 8527462365 Reassigns benefits to 1 organization
I20241004001209 WA Practitioner - Occupational Therapist in Private Practice 8527462365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Rehabilitation Associates, PLLCGroup PAC ID 8325937642, 33 clinicians

Practice addresses (Care Compare)

11919 W Sunset Hwy
Suite a
Airway Heights, WA 99001-9466
Phone (509) 356-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT22185CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pair & Marotta Physical Therapy, Inc. CurrentSince Jul 23, 2021 Accepting new patients
Pair & Marotta Physical Therapy, Inc. CurrentSince Jul 23, 2021 Accepting new patients
Summit Rehabilitation Associates, PLLC Occupational Therapist CurrentSince Oct 14, 2024 Accepting new patients
Summit Rehab Valley Corporation PastSince Oct 14, 2024 Accepting new patients

Locations

5337 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 324-0122

11919 W Sunset Hwy
Ste A
Airway Heights, WA 99001
Phone (509) 356-5200

407 E 2nd Ave
Ste 100
Spokane, WA 99202
Phone (509) 455-6002

Organizations & group practices 4

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": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1548839145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090641",
            "telephone_number": "661-328-0650",
            "fax_number": "661-328-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5337 TRUXTUN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090641",
            "telephone_number": "661-328-0650",
            "fax_number": "661-328-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNES",
        "first_name": "REUBEN JAY",
        "middle_name": "BARRION",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT22185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.