Rean J Enriquez, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

018005 Issued in NY

Practice address

12 Cove CT
Unit 1032
Athens, NY 12015-3016

Phone

(518) 444-4709

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

Yes

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.

• Catskill Prime Physical Therapy Associates

  • Physical Therapist
  • Athens, NY
  • NPI 1841354826
  NPD (past) Authorized official
• Flex Care, LLC

  • Physical Therapy Clinic/Center
  • Ghent, NY
  • NPI 1669898284
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629132691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 COVE CT",
            "address_2": "UNIT 1032",
            "city": "ATHENS",
            "state": "NY",
            "postal_code": "120153016",
            "telephone_number": "518-444-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 COVE CT",
            "address_2": "UNIT 1032",
            "city": "ATHENS",
            "state": "NY",
            "postal_code": "120153016",
            "telephone_number": "518-444-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "REAN",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catskill Prime Physical Therapy Associates
• Anne W Cubeta, RD
• Katherine Cummings
• Cynthia A Czarnecki, M.S. ED
• Deborah A. Disanza-, LCSWR
• Susan Hocker, M.S. CCC-SLP
• Home Sweet Home of Athens
• Judy Marie Lamaestra, RN
• Judith Sue Landman, LMSW
• Janice Lee Masse, LCSW

• All providers in Athens, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.