Active NPI
Christian Reyes
- Physical Therapist
- Brookline, MA
National Provider Identifier
1861946121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22446
- Practice address
- 235 Cypress St
Suite 115
Brookline, MA 02445-6776 - Phone
- (617) 860-6430
- NPI assigned
- Aug 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22446 | MA | Primary |
Addresses
Primary practice location
235 Cypress St
Suite 115
Brookline, MA 02445-6776
Mailing address
235 Cypress St
Suite 115
Brookline, MA 02445-6776
Phone (857) 237-5060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161005001654 | MA | Practitioner - Physical Therapist in Private Practice | 4981992005 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dufer LLC
Practice addresses (Care Compare)
235 Cypress St
Suite 110
Brookline, MA 02445-6777
Phone (617) 860-6430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22446 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dufer LLC | Physical Therapist | Current | Accepting new patients |
Locations
235 Cypress St
Ste 110
Brookline, MA 02445
Phone (617) 860-6430
235 Cypress St
Ste 115
Brookline, MA 02445
Phone (617) 860-6430
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1861946121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 CYPRESS ST",
"address_2": "SUITE 115",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024456776",
"telephone_number": "857-237-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 CYPRESS ST",
"address_2": "SUITE 115",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024456776",
"telephone_number": "617-860-6430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "CHRISTIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-04",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "22446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.