Marie Reva Reid, OTR/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

005407-1 Issued in NY

Practice address

3390 Hance Rd
Binghamton, NY 13903-5756

Phone

(607) 669-4891

NPI assigned

Dec 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Reva Reid Therapy Services

  • Early Intervention Provider Agency
  • Binghamton, NY
  • NPI 1962649467
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1902041130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 HANCE RD",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139035756",
            "telephone_number": "607-669-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 HANCE RD",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139035756",
            "telephone_number": "607-669-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "MARIE",
        "middle_name": "REVA",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "005407-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regional Rheumatology Associates LLP
• Rehab Supply LLC
• Khaula Rehman, MD
• Wajeeh Rehman, MD
• Alicia Mae Reichard, MS, RDN
• Philip P Reid, RN
• Jengi M. Reilly, FNP
• Roel Jozef Karl Reinartz, BACHALOR
• Jennifer Lynn Reis, MS, ATC
• Michael Patrick Reistetter, FNP-C

• Specialist in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.