Individual provider Active NPI

Jean Catherine Reyes Cayetano, PT, DPT

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1861986689
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027587-1 Issued in NY
Practice address
2179 Muliner Ave
Bronx, NY 10462-2002
Phone
(929) 330-1964
NPI assigned
Jun 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 027587-1 NY Primary

Addresses

Primary practice location

2179 Muliner Ave
Bronx, NY 10462-2002

Mailing address

2179 Muliner Ave
Bronx, NY 10462-2002
Phone (929) 330-1964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180910003066 NY Practitioner - Physical Therapist in Private Practice 1557611779 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027587-1NYMDPhysical Therapist
027587NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rimisac Family Health NP PC CurrentSince Aug 9, 2020 Accepting new patients
Rimisac Family Health NP PC CurrentSince Aug 20, 2018 Accepting new patients

Locations

120 Benchley Pl
Bldg 24
Bronx, NY 10475
Phone (347) 843-7760

120 Benchley Pl
Frnt 2
Bronx, NY 10475
Phone (347) 843-7760

120 Benchley Pl
Bronx, NY 10475
Phone (347) 219-0009

13506 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 374-3939

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1861986689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2179 MULINER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622002",
            "telephone_number": "929-330-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 MULINER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622002",
            "telephone_number": "929-330-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAYETANO",
        "first_name": "JEAN CATHERINE",
        "middle_name": "REYES",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027587-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.