Individual provider Active NPI

Gerardo Daniel Reyes, OTR/L

  • Occupational Therapist
  • Colorado Springs, CO
National Provider Identifier
1629725239
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0007254 Issued in CO
Practice address
110 1/2 N Tejon St Ste 204
Colorado Springs, CO 80903-1434
Phone
(719) 301-0218
NPI assigned
Mar 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0007254 CO Primary

Addresses

Primary practice location

110 1/2 N Tejon St Ste 204
Colorado Springs, CO 80903-1434

Mailing address

110 1/2 N Tejon St Ste 204
Colorado Springs, CO 80903-1434
Phone (719) 301-0218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT.0007254COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leap Speech Therapy LLC Occupational Therapist CurrentSince Apr 13, 2025 Accepting new patients
Elizabeth Straka Speech Associates PastSince Mar 1, 2022 Accepting new patients
Elizabeth Straka Speech Associates PastSince Mar 1, 2022 Accepting new patients

Locations

2140 Hollow Brook Dr
Ste 100
Colorado Springs, CO 80918
Phone (719) 301-0218

110 N Tejon St
Ste 204
Colorado Springs, CO 80903
Phone (719) 301-0218

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.

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1629725239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 1/2 N TEJON ST STE 204",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031434",
            "telephone_number": "719-301-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 1/2 N TEJON ST STE 204",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031434",
            "telephone_number": "719-301-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "GERARDO",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-03",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0007254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.