Individual provider Active NPI

Caleb T. Reyes, DPT

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1689330573
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH10310 Issued in AL
Practice address
4715 Whitesburg Dr SE
Huntsville, AL 35802-1632
Phone
(256) 319-8500
NPI assigned
Nov 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH10310 AL Primary

Addresses

Primary practice location

4715 Whitesburg Dr SE
Huntsville, AL 35802-1632

Mailing address

4715 Whitesburg Dr SE Ste 100
Huntsville, AL 35802-1632
Phone (256) 319-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211117003013 AL Practitioner - Physical Therapist in Private Practice 2365831005 Reassigns benefits to 1 organization
I20230906002002 TN Practitioner - Physical Therapist in Private Practice 2365831005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Star Physical Therapy LPGroup PAC ID 5496662421, 18 clinicians

Practice addresses (Care Compare)

610 E Clark Blvd
Murfreesboro, TN 37130-2121
Phone (615) 849-8550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH10310ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed Orthopaedic Specialists, PC CurrentSince Nov 4, 2021 Accepting new patients
Sportsmed Orthopaedic Specialists CurrentSince Nov 4, 2021 Accepting new patients
Star Physical Therapy LP Physical Therapist CurrentSince Jul 26, 2023 Accepting new patients
Star Physical Therapy LP Physical Therapist CurrentSince Jul 26, 2023 Accepting new patients
Star Physical Therapy LP Past Accepting new patients

Locations

4715 Whitesburg Dr SE
Ste 100
Huntsville, AL 35802
Phone (256) 319-8500

4715 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 319-8500

33 Hughes Rd
Madison, AL 35758
Phone (256) 319-9327

711 E Main St
Ste 106
Hendersonville, TN 37075
Phone (615) 822-8804

6650 Eastgate Blvd
Ste 105
Lebanon, TN 37090
Phone (731) 285-5552

610 E Clark Blvd
Murfreesboro, TN 37130
Phone (615) 849-8550

500 Hadley Village Blvd
Ste 500
Old Hickory, TN 37138
Phone (615) 475-8500

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1689330573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 WHITESBURG DR SE STE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021632",
            "telephone_number": "256-319-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 WHITESBURG DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021632",
            "telephone_number": "256-319-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "CALEB",
        "middle_name": "T.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH10310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.