Active NPI
Hendrika Grada Reintjes, PT
- Physical Therapist
- Port Orange, FL
National Provider Identifier
1598057606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT9292
- Practice address
- 733 Dunlawton Ave
Suite 103
Port Orange, FL 32127-4225 - Phone
- (386) 756-0077
- Fax
- (386) 756-6811
- NPI assigned
- May 7, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT9292 | FL | Primary |
Addresses
Primary practice location
733 Dunlawton Ave
Suite 103
Port Orange, FL 32127-4225
Mailing address
733 Dunlawton Ave
Suite 103
Port Orange, FL 32127-4225
Phone (386) 756-0077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83 of 100
- Quality
- 80
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT9292 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Associates of Ormond Beach PA | 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.
-
- Specialist
- Ormond Beach, FL
- NPI 1083679609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1598057606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 DUNLAWTON AVE",
"address_2": "SUITE 103",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321274225",
"telephone_number": "386-756-0077",
"fax_number": "386-756-6811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 DUNLAWTON AVE",
"address_2": "SUITE 103",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321274225",
"telephone_number": "386-756-0077",
"fax_number": "386-756-6811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINTJES",
"first_name": "HENDRIKA",
"middle_name": "GRADA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-07",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT9292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.