Individual provider Active NPI

Reino Francisco Sebayan Jr., PTA

  • Physical Medicine & Rehabilitation Physician
  • Pompano Beach, FL
National Provider Identifier
1548920374
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PTA20698 Issued in FL
Practice address
575 Oaks LN Apt 604
Pompano Beach, FL 33069-3737
Phone
(954) 728-0378
NPI assigned
Dec 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PTA20698 FL Primary

Addresses

Primary practice location

575 Oaks LN Apt 604
Pompano Beach, FL 33069-3737

Mailing address

575 Oaks LN Apt 604
Pompano Beach, FL 33069-3737
Phone (954) 728-0378

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

State licenses

LicenseStateTypeSpecialty
PTA20698FLMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1548920374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 OAKS LN APT 604",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693737",
            "telephone_number": "954-728-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 OAKS LN APT 604",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693737",
            "telephone_number": "954-728-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBAYAN",
        "first_name": "REINO",
        "middle_name": "FRANCISCO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PTA20698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.