Shaun Reyes, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3107 Issued in HI

Practice address

725 Kapiolani Blvd Ste C103
Honolulu, HI 96813-6027

Phone

(808) 674-1142

Fax

(808) 674-1143

NPI assigned

Aug 13, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Southern California Keck School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Sports Honolulu LLCGroup PAC ID 7517397367, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Core Sports Honolulu LLC

  • Physical Therapy Clinic/Center
  • Honolulu, HI
  • NPI 1538792742
  Medicare reassignment Care Compare group NPD Authorized official
• Core Sports Analysis LLC

  • Physical Therapy Clinic/Center
  • Kapolei, HI
  • NPI 1043600232
  Medicare reassignment NPD
• Elam Sports, Inc.

  • Physical Therapist
  • Pearl City, HI
  • NPI 1770512048
  NPD (past)
• Warfighter'S Clinic

  • Pain Medicine Physician
  • Kapolei, HI
  • NPI 1003357765
  NPD (past)

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1588896237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 KAPIOLANI BLVD STE C103",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136027",
            "telephone_number": "808-674-1142",
            "fax_number": "808-674-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 KAPIOLANI BLVD STE C103",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136027",
            "telephone_number": "808-674-1142",
            "fax_number": "808-674-1143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "599 Farrington Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Kapolei",
            "state": "HI",
            "postal_code": "967072028",
            "country_code": "US",
            "telephone_number": "808-674-1142",
            "fax_number": "808-674-1143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "SHAUN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "3107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Domingo Reyes-Moncada, MD
• Antonio Reyes
• Jeffrey Reyes
• Luke Reyes
• Michael Reyes
• Shaunan M Reyes, APRN
• Reynold Wong
• Jennifer Reynolds, RDN
• Leia Reynolds
• Shiloh Reynolds

• Physical Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.