Scot M Reyes, OTL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

TL60096141 Issued in WA

Practice address

800 N Medcalf LN
Montesano, WA 98563-1318

Phone

(360) 249-2273

NPI assigned

Jul 16, 2009

Last updated

Jul 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1871723551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 1/2 HEWITT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013822",
            "telephone_number": "701-426-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MEDCALF LN",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985631318",
            "telephone_number": "360-249-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "SCOT",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "OTL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "TL60096141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "TL60096141",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Lynn Rager, LPN
• Ruth Anne Rasmussen
• Laura Katherine Raykowski, ARNP
• Jeri Lyn Reinertsen, OTR/L
• Revera (Delaware) LLC (Montesano Health and Rehabilitation Center)
• Cheryl Richter, PHARM D
• Mark Allen Robbins, PTA
• Shadley Roberts, LMT
• Katherine Rockett
• Schuyler Rose

• Occupational Therapist in Montesano, WA
• Providers in Montesano, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.