Regino Irwin Bariso Reyes, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0007862 Issued in FL

Practice address

100 Southpark Blvd
Ste 408-B
St Augustine, FL 32086-5189

Phone

(904) 429-4443

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Priority Home Care

  • Home Health Agency
  • Freehold, NJ
  • NPI 1952353013

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1861448557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3787 PALM VALLEY RD",
            "address_2": "SUITE 102-335",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824183",
            "telephone_number": "732-495-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTHPARK BLVD",
            "address_2": "STE 408-B",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865189",
            "telephone_number": "904-429-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "REGINO IRWIN",
        "middle_name": "BARISO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0007862",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00648200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS / FLORIDA BLUE",
            "identifier": "Y0PV9",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Maria Restivo, LMT
• Restore Community Counseling
• Luke Jared Retherford, OTR/L
• Charlie Lee Revay
• Karl Reyes, RN
• Jennifer Reynolds, M.S., C.C.C.
• Samantha D Reynolds, APRN
• Rez Inc
• Rheumatology Wellness Center PLLC
• Trayce Rhoads, APRN, PMHNP-BC

• Physical Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.