Active NPI
Ryan Reyes, DPT
- Physical Therapist
- Walnut, CA
National Provider Identifier
1881835858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 35462
- Practice address
- 436 Via Quinto
Walnut, CA 91789-1629 - Phone
- (909) 548-9002
- NPI assigned
- Mar 20, 2009
- Last updated
- Mar 20, 2009
- Sex
- Male
- 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 | 35462 | CA | Primary |
Addresses
Primary practice location
436 Via Quinto
Walnut, CA 91789-1629
Mailing address
436 Via Quinto
Walnut, CA 91789-1629
Phone (909) 548-9002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Loma Linda University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1251 Pomona Rd
Suite 108
Corona, CA 92882-7157
Phone (951) 454-3848
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sports Specific Rehab
- Physical Therapy Clinic/Center
- Corona, CA
- NPI 1306238563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237507200000",
"number": "1881835858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 VIA QUINTO",
"city": "WALNUT",
"state": "CA",
"postal_code": "917891629",
"telephone_number": "909-548-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 VIA QUINTO",
"city": "WALNUT",
"state": "CA",
"postal_code": "917891629",
"telephone_number": "909-548-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "RYAN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-20",
"last_updated": "2009-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "35462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut, CA
- William Andrew Ramriez, D.C.
- Zohaib Rana, M.A.
- Sirena Marie Rappa II
- Kathleen Michelle Reichenberger
- Miriam Reyes
- RG Medical Transportation
- Mark Kazuo Robbins
- Robert Mari G Ramos DDS Inc (Grand Avenue Dental Practice)
- Robert S Tseng Chiropractic Corp
- Robert S. Tseng, Chiropractic Corp. (Total Health Wellness Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.