CARMEN REBECA REYES P.T.
NPI 1639503725
Physical Therapist in La Mesa, CA
NPI Status: Active since August 26, 2013
Contact Information
5905 SEVERIN DR
LA MESA, CA
ZIP 91942
Phone: (619) 589-2606
Fax: (619) 464-0900
- Individual
- Female
- Years of Experience 13
- Physical Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About CARMEN REYES
This page provides the complete NPI Profile along with additional information for Carmen Reyes, a provider established in La Mesa, California with a medical specialization in Physical Therapist and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1639503725 assigned on August 2013. The practitioner's primary taxonomy code is 225100000X with license number 40285 (CA). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1639503725
- Provider Name
- CARMEN REBECA REYES P.T.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5905 SEVERIN DR LA MESA, CA 91942
- Location Phone
- (619) 589-2606
- Location Fax
- (619) 464-0900
- Mailing Address
- 5905 SEVERIN DR LA MESA, CA 91942
- Mailing Phone
- (619) 589-2606
- Mailing Fax
- (619) 464-0900
- Medical School Name
- OTHER
- Graduation Year
- 2013
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-26-2013
- Last Update Date
- 02-24-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 40285
- License State
- CA
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CB205471 | MEDICARE UPIN (02) | CA |
Medicare Participation & PECOS Enrollment Status
Carmen Reyes is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Carmen Reyes is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9537395132
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240221003751
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $23.71 for a new patient copayment and $19.21 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 91942 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.87
- Minimum New Patient Price $62.1
- Maximum New Patient Price $184.71
- Average New Patient Copayment $23.71
- Minimum New Patient Copayment $15.52
- Maximum New Patient Copayment $46.17
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $76.87
- Minimum Established Patient Price $20.62
- Maximum Established Patient Price $151.42
- Average Established Patient Copayment $19.21
- Minimum Established Patient Copayment $5.15
- Maximum Established Patient Copayment $37.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for CARMEN REBECA REYES P.T.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 5 | 0 | 3 | 7 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 10 | 0 | 6 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 0 + 0 + 6 + 7 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1639503725 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1396751517 | LYNNE ALICIA RYDEN P.T. Individual | Physical Therapist | 5905 SEVERIN DR LA MESA, CA 91942 (619) 589-2606 |
| 1336426592 | MARLA L HUOTT P.T. Individual | Physical Therapist | 5905 SEVERIN DR LA MESA, CA 91942 (619) 589-2606 |
| 1700151529 | SETH EGGE P.T. Individual | Physical Therapist | 5905 SEVERIN DR LA MESA, CA 91942 (619) 589-2606 |
| 1902227192 | CARA WINICK Individual | Physical Therapist | 5905 SEVERIN DR LA MESA, CA 91942 (619) 589-2606 |
| 1689622433 | DENNIS PAUL LANGTON P.T. Individual | Physical Therapist | 5905 SEVERIN DR LA MESA, CA 91942 (619) 589-2606 |
| 1053780395 | ANDREW CLENDENEN PT, DPT Individual | Physical Therapist | 5905 SEVERIN DR LA MESA, CA 91942 (619) 589-2606 |
| 1114477585 | KATHRYN CSETE DPT Individual | Clinic/Center (Physical Therapy) | 5905 SEVERIN DR LA MESA, CA 91942 (619) 589-2606 |
| 1013455542 | THOMAS B KELLY Individual | Physical Therapy Assistant | 5905 SEVERIN DR LA MESA, CA 91942 (619) 589-2606 |
| 1891226437 | NATHAN BURLAKOVSKY Individual | Physical Therapist | 5905 SEVERIN DR LA MESA, CA 91942 (619) 589-2606 |
| 1861439580 | EGGLETON & LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES Organization | Physical Therapist | 5905 SEVERIN DR LA MESA, CA 91942 (619) 589-2606 |
| 1558941567 | KATHLEEN LARA ACOSTA ERESE Individual | Occupational Therapist | 5905 SEVERIN DR LA MESA, CA 91942 (619) 589-2606 |
| 1174105027 | CAMERON TRISTAN MILES PTA Individual | Physical Therapy Assistant | 5905 SEVERIN DR LA MESA, CA 91942 (619) 589-2606 |
| 1043888761 | JASON HARDIN Individual | Physical Therapist | 5905 SEVERIN DR LA MESA, CA 91942 (619) 589-2606 |
| 1114173838 | JESSICA BROOKE NIEBRUGGE PT Individual | Physical Therapist | 5905 SEVERIN DR LA MESA, CA 91942 (619) 589-2606 |
| 1154087617 | CEDRIC D NORWOOD DPT Individual | Physical Therapist | 5905 SEVERIN DR LA MESA, CA 91942 (619) 589-2606 |
| 1790547826 | KIMBERLY LEONORA SANTOS Individual | Physical Therapy Assistant | 5905 SEVERIN DR LA MESA, CA 91942 (619) 589-2606 |
| 1003667270 | KATHLEEN CRUZ Individual | Physical Therapy Assistant | 5905 SEVERIN DR LA MESA, CA 91942 (619) 589-2606 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639503725, enumerated in the NPI registry as an "individual" on August 26, 2013
The provider is located at 5905 Severin Dr La Mesa, Ca 91942 and the phone number is (619) 589-2606
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider has more than 13 years of experience.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $94.87 with an average copayment of $23.71 for new patient appointments. Established patients should expect a typical charge of $76.87 and an average copayment of 19.21. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 26, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.