Active NPI
Carmela Reynoso
- Physical Therapist
- Cathedral City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT32508
- Practice address
- 35325 Date Palm Dr Ste 131
Cathedral City, CA 92234-7031 - Phone
- (760) 202-0368
- Fax
- (760) 770-1973
- NPI assigned
- Mar 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 | PT32508 | CA | Primary |
Addresses
Primary practice location
35325 Date Palm Dr Ste 131
Cathedral City, CA 92234-7031
Mailing address
408 Higuera St Ste 200
San Luis Obispo, CA 93401-6135
Phone (805) 788-0805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT32508 | CA | MD | Physical Therapist |
| 32508 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mangan Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| GTMS Fitness Corporation | Physical Therapist | Current | Accepting new patients |
| The Rehab Group | Physical Therapist | Current | Accepting new patients |
Locations
39815 Alta Murrieta Dr
Ste C1
Murrieta, CA 92563
Phone (951) 268-8865
38860 Sky Canyon Dr
Bldg A
Murrieta, CA 92563
Phone (442) 777-5920
40680 California Oaks Rd
Ste 2A
Murrieta, CA 92562
Phone (951) 894-4800
29377 Rancho California Rd
Ste 100
Temecula, CA 92591
Phone (951) 296-0400
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Murrieta, CA
- NPI 1275587172
Physical Therapist
-
- Orthopedic Physical Therapist
- Temecula, CA
- NPI 1669658852
-
- Physical Therapist
- Murrieta, CA
- NPI 1912118076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1598733164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 HIGUERA ST STE 200",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934016135",
"telephone_number": "805-788-0805",
"fax_number": "805-788-0845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35325 DATE PALM DR STE 131",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922347031",
"telephone_number": "760-202-0368",
"fax_number": "760-770-1973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOSO",
"first_name": "CARMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT32508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cathedral City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.