Active NPI
Lauren Ashley Reynaga, CTRS
- Recreation Therapist
- Temple, TX
National Provider Identifier
1689277634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 64014
- Practice address
- 1901 Veterans Memorial Dr
Temple, TX 76504-7451 - Phone
- (254) 899-7392
- NPI assigned
- Nov 20, 2020
- Last updated
- Nov 20, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 64014 | TX | Primary |
Addresses
Primary practice location
1901 Veterans Memorial Dr
Temple, TX 76504-7451
Mailing address
301 Cody
Georgetown, TX 78626-2272
Phone (512) 966-4701
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64014 | TX | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1689277634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 CODY",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786262272",
"telephone_number": "512-966-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 VETERANS MEMORIAL DR",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765047451",
"telephone_number": "254-899-7392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNAGA",
"first_name": "LAUREN",
"middle_name": "ASHLEY",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-20",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "TX",
"license": "64014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.