Maria A Reynolds, SPEECH THERAPY

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLP 18467 Issued in CA

Practice address

2111 S El Camino Real
Suite # 200
Oceanside, CA 92054-9000

Phone

(760) 729-5433

Fax

(760) 729-1764

NPI assigned

Apr 18, 2011

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.

• Active Life Rehab, Inc.

  • Geriatric Physical Therapist
  • Escondido, CA
  • NPI 1346295805
  NPD (past)

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1952691453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 S EL CAMINO REAL",
            "address_2": "SUITE # 200",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920549000",
            "telephone_number": "760-729-5433",
            "fax_number": "760-729-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 S EL CAMINO REAL",
            "address_2": "SUITE # 200",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920549000",
            "telephone_number": "760-729-5433",
            "fax_number": "760-729-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MARIA",
        "middle_name": "A",
        "credential": "SPEECH THERAPY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SLP 18467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Jose Reyes III, PMHNP
• Jasmine Marie Reyes
• Kelsey Dawn Reyes, LMT
• Deborah Susan Reyna, MSW, MA, BSW
• Korie Renee Reynolds
• Lizbeth Julia Reynoso
• Brooke Ashley Rhoades
• Rachel Rials
• Jacob Akiva Ribakoff, PA-C
• Tanya D Rice, FNP, RN, PHN

• Speech-Language Assistant in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.