Alicia Reyes

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018093 Issued in MI

Practice address

205 W Grand River Ave Ste 201
Brighton, MI 48116-1659

Phone

(810) 588-4133

Fax

(810) 588-4124

NPI assigned

Mar 15, 2017

Last updated

Sep 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro-Motion Physical Therapy, PLLCGroup PAC ID 2668661943, 3 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pro-Motion Physical Therapy, PLLC

  • Physical Therapist
  • Brighton, MI
  • NPI 1174832083
  Medicare reassignment Care Compare group NPD
• DPT Holdings LLC

  dba Doctors of Physical Therapy

  • Occupational Therapist
  • Sterling Heights, MI
  • NPI 1114628419
  NPD (past)

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1649711284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W GRAND RIVER AVE STE 201",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161659",
            "telephone_number": "810-588-4133",
            "fax_number": "810-588-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W GRAND RIVER AVE STE 201",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161659",
            "telephone_number": "810-588-4133",
            "fax_number": "810-588-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleatha Denise Reitsma-Mathias, MD
• Renal Treatment Centers-Illinois Inc. (Brighton Dialysis)
• Renewed Healing Chiropractic PLLC
• Restorative Case Management, LLC
• Scott Carl Reusze, RPH
• Brittany Rae Reynolds, FNP-C
• Angela Renee Rheaume
• Sarah Katherine Hodges Richards, LMSW
• Bethany Richardson, MSPT
• Kathleen Rigley, OTR

• Physical Therapist in Brighton, MI
• Providers in Brighton, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.