Active NPI
Tres Reinas Therapy LLC
- Physical Therapist
- Snellville, GA
National Provider Identifier
1831708171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- TRES REINAS THERAPY LLC
- Practice address
- 1948 Kentland PL
Snellville, GA 30078-2094 - Phone
- (678) 400-7686
- NPI assigned
- Jul 22, 2020
- Last updated
- Nov 13, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darian Henry
- Title
- PT
- Phone
- (678) 400-7686
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
1948 Kentland PL
Snellville, GA 30078-2094
Mailing address
1948 Kentland PL
Snellville, GA 30078-2094
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | keonj@hotmail.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Snellville, GA
- NPI 1942821558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605225600000",
"number": "1831708171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1948 KENTLAND PL",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1948 KENTLAND PL",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782094",
"telephone_number": "678-400-7686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRES REINAS THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-22",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "DARIAN",
"authorized_official_title_or_position": "PT",
"authorized_official_telephone_number": "678-400-7686"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "keonj@hotmail.com",
"affiliation": "N",
"address_1": "1948 Kentland Pl",
"city": "Snellville",
"state": "GA",
"country_code": "US",
"postal_code": "300782094",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.