Beverly Ivette Reyes, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT31481 Issued in FL

Practice address

6360 Plantation Bay Dr N
Jacksonville, FL 32244-5167

Phone

(904) 496-4273

NPI assigned

Aug 9, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Beverly Ivette Igartua Soto Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Sensory DPT PLLC

  • Pediatric Physical Therapist
  • Middleburg, FL
  • NPI 1992402770

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1639623572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 PLANTATION BAY DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 PLANTATION BAY DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322445167",
            "telephone_number": "904-496-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "BEVERLY",
        "middle_name": "IVETTE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2023-03-13",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "PT31481",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "FL",
            "license": "PT 31481",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT31481",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT31481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "IGARTUA SOTO",
            "middle_name": "IVETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan Rex
• Virginia Rexroat, LCSW, MSW, BSW.
• Tiffany Rey, DO
• Idalys Reyes Jimenez
• Anita Reyes, PT
• Diana Reyes
• F. Rizalina Olalo Reyes, ARNP
• Manuel A. Reyes, M.D.
• Martha Eugenia Reyes, M.D.
• Roehl Romarico Reyes, PT

• All providers in Jacksonville, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.