MR. REYNALDO PESINA (NPI# 1730214065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730214065 |
| Entity Type | Individual |
| Full Name | MR. REYNALDO PESINA |
| Credential | PT |
| Practice Address |
76 Cresent Way Quincy CA 95970 |
| Mailing Address |
72795 S Delleker Portola CA 96122 |
| Practice Telephone | 5302830314 |
| Mailing Telephone | 5308321701 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT17342 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 0PT173420 | 01 |
| Street Address |
76 CRESENT WAY |
| City | QUINCY |
| State | CA |
| Zip Code | 95970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144731688 | Carinne Nicole Sines | Behavior Technician | 362 Winter Street, Princeton, CA 95970 | 2017-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952525 | Michaela Cataldo | Speech-Language Pathologist | 169 Beale St, Quincy, MA 02170-3340 | 2020-11-05 |
| 1194325134 | Laura Copeland-clarke | Behavior Technician | 19 Endicott St, Quincy, MA 02169-7821 | 2020-10-29 |
| 1588264519 | Kendra Renea Chambers | Home Health | 78 Sims Rd, Quincy, FL 32352-6431 | 2020-10-28 |
| 1720688732 | Zizo Valliere | Behavior Technician | 17 Douglas St, Quincy, MA 02169-6106 | 2020-10-28 |
| 1053910257 | Lauren Michele Flynn | Nurse Practitioner | 173 Sumner St, Quincy, MA 02169-7003 | 2020-10-20 |
| 1194324327 | Karen Marie Hooley | Pharmacist | 57 Hilda St Apt 4, Quincy, MA 02169-1348 | 2020-10-19 |
| 1023617339 | Meghan Earle | Counselor | 1354 Hancock St Ste 214, Quincy, MA 02169-5109 | 2020-10-19 |
| 1023616653 | Margaret Schneider | Physical Therapist | 4800 Maine St Ste 48-100, Quincy, IL 62305-5875 | 2020-10-15 |
| 1578161543 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 Crown Colony Dr, Quincy, MA 02169-0959 | 2020-10-13 |
| 1497352744 | Shahad Hadadi | Dentist | 2 Hancock St Apt 504, Quincy, MA 02171-1769 | 2020-10-08 |
| Find all providers in QUINCY | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164797239 | Maura E Ziegler | Specialist | 350 Hancock St, Quincy, MA 02171-2439 | 2012-03-21 |
| 1346510310 | Mountain Physical Therapy | Specialist | 20 Crescent St, B, Quincy, CA 95971-9118 | 2012-01-09 |
| 1962782789 | Beth M Baker | Specialist | 67 Coddington St Ste 103, Quincy, MA 02169-4511 | 2011-08-24 |
| 1295015675 | Carrie Anne Weber | Specialist | 11 D St Se, Quincy, WA 98848-1433 | 2011-08-17 |
| 1043470792 | Cynthia Jo Rosenkoetter | Specialist | 2810 Lind St, Quincy, IL 62301-3507 | 2008-06-16 |
| 1144404104 | Khosro Tigrani | Specialist | 318 Lincoln Hl Nw, Quincy, IL 62301-4496 | 2007-12-26 |
| 1306068275 | Jimmie Dean Copeland Jr. | Specialist | 104 E. Washington Street, Suite E., Quincy, FL 32351 | 2007-05-02 |
| 1558496265 | Western Illinois Sports Medicine and Orthopedic Center | Specialist | 927 Broadway St Ste 104, Quincy, IL 62301-2728 | 2007-02-22 |
| 1043363542 | Sands Traveler Pt, Inc. | Specialist | 76 Cresent, Quincy, CA 95971 | 2007-01-19 |
| 1982771978 | Family Practice of Chiropractic, PC | Specialist | 112 Mayor Thomas J Mcgrath Hwy, Quincy, MA 02169-4607 | 2006-11-29 |
| Find all providers in QUINCY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.