Active NPI
Jean Catherine Reyes Cayetano, PT, DPT
- Physical Therapist
- Bronx, NY
National Provider Identifier
1861986689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 027587-1
- 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
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027587-1 | NY | MD | Physical Therapist |
| 027587 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rimisac Family Health NP PC | Current | Accepting new patients | |
| Rimisac Family Health NP PC | Current | 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.
-
- Contractor
- Jamaica, NY
- NPI 1083020242
-
- Early Intervention Provider Agency
- Bronx, NY
- NPI 1881212645
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.