Active NPI
Gloria Elizabeth Reyna
- Physical Therapist
- La Mesa, CA
National Provider Identifier
1891019436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10656
- Practice address
- 7862 El Cajon Blvd
La Mesa, CA 91942-6712 - Phone
- (619) 644-6452
- NPI assigned
- Mar 25, 2010
- Last updated
- Mar 25, 2010
- Sex
- Female
- 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 | 10656 | CA | Primary |
Addresses
Primary practice location
7862 El Cajon Blvd
La Mesa, CA 91942-6712
Mailing address
7862 El Cajon Blvd
La Mesa, CA 91942-6712
Phone (619) 644-6452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10656 | CA | MD | Physical Therapy Assistant |
| 11877 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1891019436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7862 EL CAJON BLVD",
"city": "LA MESA",
"state": "CA",
"postal_code": "919426712",
"telephone_number": "619-644-6452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7862 EL CAJON BLVD",
"city": "LA MESA",
"state": "CA",
"postal_code": "919426712",
"telephone_number": "619-644-6452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNA",
"first_name": "GLORIA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-25",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "10656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
- Retina Institute of California
- Retina Institute of California Medical Group, a California Medical Par (Acuity Eye Group)
- Retina Institute of California Medical Group, a California Medical Par (Acuity Eye Group)
- Carmen Rebeca Reyes, P.T.
- Kassandra Samantha Reyes
- Daniel Gene Reynolds, PT
- Edna Beth Reynolds II
- Brenda Reynosa, RD
- Lauren Rezende, MPH, RD
- Scott Rhea, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.