MEDICARE: DANIEL REYES PT, DPT, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251S0007X	Sports Physical Therapist

General Provider Information

NPI Number	:	1932935897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL REYES PT, DPT, ATC

Provider Business Mailing Address
First Line	:	540 E 46TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-1944
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20000 NW 27TH AVE
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-2674
Country	:	US
Telephone Number	:	305-336-8271
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2024
Last Update Date	:	09/09/2024

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