Alexandra Reyes, PTA

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

License

2171869 Issued in TX

Practice address

21630 Merchants Way
Katy, TX 77449-2514

Phone

(832) 230-1518

Fax

(281) 741-7355

NPI assigned

Oct 19, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1811614969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7506 OAK VISTA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770875431",
            "telephone_number": "832-641-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21630 MERCHANTS WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492514",
            "telephone_number": "832-230-1518",
            "fax_number": "281-741-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ALEXANDRA",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "TX",
            "license": "2171869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@reliantpediatrictherapy.com",
            "affiliation": "N",
            "endpointDescription": "Laptop, Desktop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21630 Merchants Way",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774492514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Revive Telehealth and Wellness, LLC
• Revolution Eyes PLLC
• Emmanuel Rex-Nwakamma
• Luis E Rey, D.M.D.
• Indira Sofia Reyes-Contin, M.D
• Diana Carolina Reyes, D.D.S
• Jasmin Reyes, RBT, CRP
• Jessica Yvette Reyes, M.S.
• Kristina Reyes
• Marilou Zuniga Reyes, APRN

• Pediatric Rehabilitation Medicine Physician in Katy, TX
• Providers in Katy, TX by specialty
• Pediatric Rehabilitation Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.