Active NPI
Charlie Reyes Torreblanca
- Kinesiotherapist
- Lawrenceville, GA
National Provider Identifier
1649955196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- Practice address
- 2450 Buford Dr
Lawrenceville, GA 30043-2102 - Phone
- (470) 712-5883
- NPI assigned
- Jun 21, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Kinesiotherapist | 226300000X | Primary |
Addresses
Primary practice location
2450 Buford Dr
Lawrenceville, GA 30043-2102
Mailing address
354 E Creek BND
Athens, GA 30605-4561
Phone (678) 522-8984
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1649955196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 E CREEK BND",
"city": "ATHENS",
"state": "GA",
"postal_code": "306054561",
"telephone_number": "678-522-8984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 BUFORD DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300432102",
"telephone_number": "470-712-5883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES TORREBLANCA",
"first_name": "CHARLIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-21",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.