Provider Demographics
NPI:1538829189
Name:REAMER, JANINE MARIE (DPT, PT)
Entity type:Individual
Prefix:DR
First Name:JANINE
Middle Name:MARIE
Last Name:REAMER
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 INDIAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-6132
Mailing Address - Country:US
Mailing Address - Phone:845-803-0508
Mailing Address - Fax:
Practice Address - Street 1:9051 TAMIAMI TRL N STE 104
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-2520
Practice Address - Country:US
Practice Address - Phone:239-591-4711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT38201225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty