Alita Gloria Reyna, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00987800 Issued in NJ

Practice address

554 Bloomfield Ave
Newark, NJ 07107-1338

Phone

(973) 483-2277

Fax

(973) 416-6909

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

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)

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.

• Irvington Physical Therapy

  • Physical Therapist
  • Irvington, NJ
  • NPI 1508912635
  NPD (past)
• Main Street Medical Center, PC

  • Internist Chiropractor
  • Milltown, NJ
  • NPI 1407807787
  NPD (past)
• Prestige Pain Centers PC

  • Interventional Pain Medicine Physician
  • Carteret, NJ
  • NPI 1649706896
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1912958273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BENVENUE AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523216",
            "telephone_number": "973-731-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 BLOOMFIELD AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071338",
            "telephone_number": "973-483-2277",
            "fax_number": "973-416-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNA",
        "first_name": "ALITA",
        "middle_name": "GLORIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00987800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revelation Therapy Services
• Lee A Reverendo, D.D.S.
• Deysi Reyes
• Raquel Reyes, DNP, WHNP, CNM
• Tyrone K. Reyes, M.D.
• Christine M Reynolds, APN
• Matthew Thomas Reynolds, D.O.
• Nicole Reynoso-Vasquez
• Juliana Rezende de Paula, MA, RBT
• Alicia Reznick, APRN

• Physical Therapist in Newark, NJ
• Providers in Newark, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.