Tatyana M Reznik, PT, DPT, GCS

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT021376 Issued in PA

Practice address

1102 Poquessing Ave
Bensalem, PA 19020-5628

Phone

(215) 760-9520

NPI assigned

Jul 20, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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 and National Provider Directory roles.

• Vita Rei Inc

  • Geriatric Physical Therapist
  • Bensalem, PA
  • NPI 1104593714
  Medicare reassignment NPD Authorized official
• Healing Touch PT

  • Physical Therapist
  • Feasterville Trevose, PA
  • NPI 1962885939
  Medicare reassignment NPD
• Upt Services Inc.

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
  • NPI 1245730977

  Physical Therapist

  Medicare reassignment NPD
• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  PA

  Medicare reassignment NPD
• Functionfirst

  • Physical Therapist
  • Feasterville Trevose, PA
  • NPI 1780107979
  NPD (past)

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1750679015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 POQUESSING AVE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205628",
            "telephone_number": "215-760-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 POQUESSING AVE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205628",
            "telephone_number": "215-760-9520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Carnegie Plz",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080031000",
            "country_code": "US",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REZNIK",
        "first_name": "TATYANA",
        "middle_name": "M",
        "credential": "PT, DPT, GCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "PA",
            "license": "PT021376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jeremy S Rich, D.M.D., M.S.

• Geriatric Physical Therapist in Bensalem, PA
• Providers in Bensalem, PA by specialty
• Geriatric Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.