Organization Active NPI

Tres Reinas Therapy LLC

  • Physical Therapist
  • Snellville, GA
National Provider Identifier
1831708171
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Darian HenryNPI 1942821558
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address keonj@hotmail.com

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.