Active NPI
Rebecca J Reynolds, MA, EDD
- Developmental Therapist
- Prospect Heights, IL
National Provider Identifier
1003534215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 1501 S Wolf Rd Apt 139
Prospect Heights, IL 60070-1718 - Phone
- (847) 346-7695
- NPI assigned
- Aug 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
1501 S Wolf Rd Apt 139
Prospect Heights, IL 60070-1718
Mailing address
1501 S Wolf Rd Apt 139
Prospect Heights, IL 60070-1718
Phone (847) 346-7695
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2119921 | Other | IL | ILLINOIS SCHOOL BOARD OF EDUCATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1003534215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 S WOLF RD APT 139",
"city": "PROSPECT HEIGHTS",
"state": "IL",
"postal_code": "600701718",
"telephone_number": "847-346-7695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S WOLF RD APT 139",
"city": "PROSPECT HEIGHTS",
"state": "IL",
"postal_code": "600701718",
"telephone_number": "847-346-7695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "REBECCA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MA, EDD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-15",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS SCHOOL BOARD OF EDUCATION",
"identifier": "2119921",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prospect Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.