Augusto Reynoso, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01706700 Issued in NJ

Practice address

414 E 41St St
Paterson, NJ 07504-1221

Phone

(973) 337-0315

NPI assigned

Nov 23, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Enrollment records 2

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.

• M&Ntherapyllc

  • Physical Therapy Clinic/Center
  • Wayne, NJ
  • NPI 1346985942

  Physical Therapist

  Medicare reassignment NPD
• Sportsmed PT LLC

  • Physical Therapist
  • Glen Rock, NJ
  • NPI 1841787645
  Medicare reassignment NPD
• Access PT, OT, New York, PLLC

  • Physical Therapist
  • New City, NY
  • NPI 1831539493
  Medicare reassignment NPD
• B Stern Physical Therapy P.C.

  • Physical Therapist
  • Monsey, NY
  • NPI 1588814966
  Medicare reassignment NPD
• Greenstein and Stern Physical Therapy, PLLC

  • Physical Therapist
  • Monsey, NY
  • NPI 1689042731
  Medicare reassignment NPD
• Augusto Reynoso L.L.C.

  • Physical Medicine & Rehabilitation Physician
  • Paterson, NJ
  • NPI 1124987334
  NPD Authorized official
• Lusky Corp

  • Chiropractor
  • Fort Lee, NJ
  • NPI 1407441892

  Physical Therapist

  NPD

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770508800000",
    "number": "1609319599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E 41ST ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041221",
            "telephone_number": "973-337-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E 41ST ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041221",
            "telephone_number": "973-337-0315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Hamburg Tpke",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074705071",
            "country_code": "US",
            "telephone_number": "973-310-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Tuolumne St",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945892523",
            "country_code": "US",
            "telephone_number": "707-644-7401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10020 Indiana Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925035479",
            "country_code": "US",
            "telephone_number": "951-637-2320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOSO",
        "first_name": "AUGUSTO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-23",
        "last_updated": "2026-02-08",
        "certification_date": "2026-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01706700",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ID",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revoredo Medical Affiliates LLC
• Fred Revoredo, M.D.
• Ana Maria Rexach
• Darianny Reyna
• Elizabeth Lila Reynolds, DO
• Brittany Rezendes
• Abraam Mena Rezkalla, MD
• Brandon Kevin Timur Rezzadeh
• RHK Pharmacy Management LLC
• RHK Pharmacy Management LLC

• Physical Therapist in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2026; 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.

Verify at the official NPI Registry.