Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Randy Ortiz Reyes

Individual provider Contractor · NPI 1174852834

Randy Ortiz Reyes is a Physical Therapist in Private Practice in Indianapolis, Indiana. Qualified in 2018, 8 years ago. Practices with Texas Luna Care Physical Therapy LLC, a 267-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
8
Licensed in
IL, IN
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

5980 W 71st St Ste 102
Indianapolis, IN 46278-1785
Phone: (317) 388-0800
Fax: (317) 388-0805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 0501024A (IN)
Contractor Taxonomy 171W00000X · Licence 1631979 (IL)

Record details

NPI number1174852834
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 9, 2009
Last updated in NPPESDecember 9, 2009
Mailing address5980 W 71st St Ste 102, Indianapolis, IN 46278-1785

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Texas Luna Care Physical Therapy Llc — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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