Individual provider Active NPI

Jeffrey Eugene Reisman, DPT

  • Physical Therapist
  • Natick, MA
National Provider Identifier
1821432170
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20444 Issued in MA
Practice address
203 Oak St
Natick, MA 01760-1306
Phone
(508) 651-0051
Fax
(508) 651-0061
NPI assigned
Apr 17, 2013
Last updated
Apr 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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 20444 MA Primary

Addresses

Primary practice location

203 Oak St
Natick, MA 01760-1306

Mailing address

203 Oak St
Natick, MA 01760-1306
Phone (508) 651-0051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130605000545 MA Practitioner - Physical Therapist in Private Practice 4082852991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebound Physical Therapy LLCGroup PAC ID 1355375486, 21 clinicians

Practice addresses (Care Compare)

203 Oak St
Natick, MA 01760-1344
Phone (508) 651-0051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20444MAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Physical Therapy LLC CurrentSince Mar 26, 2013 Accepting new patients
Rebound Physical Therapy LLC Physical Therapist CurrentSince Mar 26, 2013 Accepting new patients
Morristown Ophthalmology Associates, P.a. PastSince Apr 1, 2017 Accepting new patients

Locations

203 Oak St
Natick, MA 01760
Phone (508) 647-3200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1821432170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 OAK ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601306",
            "telephone_number": "508-651-0051",
            "fax_number": "508-651-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 OAK ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601306",
            "telephone_number": "508-651-0051",
            "fax_number": "508-651-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISMAN",
        "first_name": "JEFFREY",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.