Luis Francisco Tan Reyes IV, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

041221 Issued in NY

Practice address

6860 Austin St Ste 307
Forest Hills, NY 11375-4223

Phone

(718) 880-1716

Fax

(718) 880-1322

NPI assigned

Jan 18, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1841889417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 69TH ST FL 3",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773837",
            "telephone_number": "662-298-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 AUSTIN ST STE 307",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754223",
            "telephone_number": "718-880-1716",
            "fax_number": "718-880-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "LUIS FRANCISCO",
        "middle_name": "TAN",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Retina Associates of New York,P.C.
• Rey Drugs Corp.
• Rey Pharmacy LLC
• Melody Rey, MHC-LP
• Carolyn Mariel Reyes
• Mailyn Fajardo Reyes, O.T.R.
• Rosa Reyes
• Thomas Richard Reynolds, RPH
• Naomi Reynoso
• Wendy Reynoso

• Physical Therapist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.