NOAH REESE – Physical Therapist, NPI 1093666802

NOAH REESE is a healthcare provider. based in Oakdale, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 309704 (CA). The NPI Number for NOAH REESE is 1093666802

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
NOAH REESE
NPI
1093666802
Phone
(209) 322-2140
Address
146 N MAAG AVE STE B
Enumeration Date
6 February 2026
Last Update Date
6 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2093222140
Graduation Year
2025 (1 year ago)
PAC ID
3678056322
Group Practice PAC ID
2961423082
Professional Enrollment ID
I20260311002635
Address ID
CA953610000OA146XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for NOAH REESE

  • 146 N MAAG AVE STE B

    OAKDALE, CA 953612249

    Phone: (209) 322-2140

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260311002635IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95361)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961423082View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
-CA
-CA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Can I verify NOAH REESE with an NPI only?
You can start verification with NPI 1093666802 for NOAH REESE, then check state licensing separately.
Does CMS list NOAH REESE as active?
Yes — NOAH REESE is active in the NPI listing used on this page.
What healthcare role does NOAH REESE hold?
Scheduling teams often label NOAH REESE under Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for NOAH REESE?
NOAH REESE's geographic hint is Oakdale, California in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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