Aysha Bermudez Reyes, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

921 Assembly St
Columbia, SC 29208-0001

Phone

(803) 777-7000

NPI assigned

May 22, 2018

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1770074049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 CAROL DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 ASSEMBLY ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292080001",
            "telephone_number": "803-777-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18111 Nordhoff St",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913300001",
            "country_code": "US",
            "telephone_number": "818-677-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "AYSHA",
        "middle_name": "BERMUDEZ",
        "name_prefix": "Miss",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Results-Testing, LLC
• Emily Doran Rettew, OD
• Nicola Presley Revills, MD
• Revolving Health Chiropractic LLC
• Jessica Kay Rexrode, LPC/A
• Brandon Reyes, PHARMD
• Chandlyn Kelli Reyes
• Deborah Jeanne Petkovsek Reyes, PH.D.
• Jose Alexander Reyes
• Yailin Reyes

• Athletic Trainer in Columbia, SC
• Providers in Columbia, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.