Richard Glen Reller, OTRL

Primary specialty

SpecialistTaxonomy code 174400000X

License

102478 Issued in AZ

Practice address

13327 N 152ND Ave
Surprise, AZ 85379-9119

Phone

(602) 769-2532

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Active Family Solutions

  • Developmentally Disabled Services Day Training Agency
  • Surprise, AZ
  • NPI 1760613889
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659417178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13327 N 152ND AVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853799119",
            "telephone_number": "602-769-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13327 N 152ND AVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853799119",
            "telephone_number": "602-769-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELLER",
        "first_name": "RICHARD",
        "middle_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "102478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Reiland, RD
• Zachary Reineke, BCBA - LBA
• Judy Reisener
• Laura Reith, B.A.
• Camille N Reliford, PHARM.D.
• Renewed Perspectives Counseling
• Chloe Rensing
• Alisha Ann Renteria, FNP-C
• Kenneth Repp, PTA
• Resilience Counseling Az, LLC

• Specialist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.