Individual provider Active NPI

Justin Michael Reed

  • Occupational Therapy Assistant
  • Reno, NV
National Provider Identifier
1639057243
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA-3733 Issued in NV
Practice address
9480 Double Diamond Pkwy Ste 100
Reno, NV 89521-5844
Phone
(775) 786-1600
NPI assigned
Aug 22, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA-3733 NV Primary

Addresses

Primary practice location

9480 Double Diamond Pkwy Ste 100
Reno, NV 89521-5844

Mailing address

9150 Raytheon CT
Reno, NV 89506-5989
Phone (775) 250-5706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260106001888 NV Practitioner - Occupational Therapist in Private Practice 5698261063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hayes and Fyda MDS LTDGroup PAC ID 3476530338, 24 clinicians

Practice addresses (Care Compare)

9480 Double Diamond Pkwy
Suite 100
Reno, NV 89521-5844
Phone (775) 786-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTA-3733NVMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hayes & Fyda MDS LTD CurrentSince Oct 12, 2025 Accepting new patients
Hayes & Fyda MDS LTD CurrentSince Oct 12, 2025 Accepting new patients

Locations

5411 Kietzke Ln
Ste 105
Reno, NV 89511
Phone (775) 786-1600

9480 Double Diamond Pkwy
Ste 100
Reno, NV 89521
Phone (775) 329-3100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1639057243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 RAYTHEON CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895065989",
            "telephone_number": "775-250-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 DOUBLE DIAMOND PKWY STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215844",
            "telephone_number": "775-786-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NV",
            "license": "OTA-3733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.