Kimberly Rae Reynolds, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT13038 Issued in FL

Practice address

7520 W University Ave
Suite D
Gainesville, FL 32607-7611

Phone

(352) 505-6339

Fax

(352) 505-6340

NPI assigned

Mar 15, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Kimberly Rae Peters Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1003130337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 W UNIVERSITY AVE",
            "address_2": "SUITE D",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326077611",
            "telephone_number": "352-505-6339",
            "fax_number": "352-505-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 W UNIVERSITY AVE",
            "address_2": "SUITE D",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326077611",
            "telephone_number": "352-505-6339",
            "fax_number": "352-505-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KIMBERLY",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PETERS",
            "middle_name": "RAE",
            "prefix": "MISS",
            "credential": "MOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Reyes
• Oscar Reyes, DDS
• Emily Reynolds
• Jacquelyn Raleigh Reynolds, L.M.T.
• Jordon Reynolds
• Lateisha Reynolds
• Dorit Reznek, M.AC
• Roya Rezvani Habibabadi, MD
• Kali Rochelle Rhea, CRNA, DNP
• Phil Rhiddlehoover, MD

• Occupational Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.