Active NPI
Juanito E Reyes, PT
- Physical Therapist
- Baldwin, NY
National Provider Identifier
1780639997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 024010
- Practice address
- 830 Atlantic Ave
Baldwin, NY 11510-4098 - Phone
- (516) 867-5050
- Fax
- (516) 867-0868
- NPI assigned
- May 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 024010 | NY | Primary |
Addresses
Primary practice location
830 Atlantic Ave
Baldwin, NY 11510-4098
Mailing address
830 Atlantic Ave
Baldwin, NY 11510-4098
Phone (516) 867-5050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
807 Atlantic Ave
Baldwin, NY 11510-4011
Phone (516) 867-5050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024010 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reyes/Reyes Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| South Shore Neurologic Associates, PC | Past | Accepting new patients |
Locations
830 Atlantic Ave
Baldwin, NY 11510
Phone (516) 867-5050
807 Atlantic Ave
Baldwin, NY 11510
Phone (516) 867-5050
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Baldwin, NY
- NPI 1285861906
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Patchogue, NY
- NPI 1700183373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253059200000",
"number": "1780639997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 ATLANTIC AVE",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115104098",
"telephone_number": "516-867-5050",
"fax_number": "516-867-0868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 ATLANTIC AVE",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115104098",
"telephone_number": "516-867-5050",
"fax_number": "516-867-0868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "JUANITO",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2009-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "024010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.