Amy Melissa-Weldon Reynolds, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

J2-0000665 Issued in DE

Practice address

721 Rehoboth Ave
Suite 12
Rehoboth Beach, DE 19971-3169

Phone

(302) 227-2008

Fax

(302) 227-8098

NPI assigned

Nov 2, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Delaware Physical Therapy, Inc.

  • Physical Therapist
  • Lewes, DE
  • NPI 1588690622
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013096957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SAVANNAH RD",
            "address_2": "SUITE A-1",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581550",
            "telephone_number": "302-644-2530",
            "fax_number": "302-644-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 REHOBOTH AVE",
            "address_2": "SUITE 12",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199713169",
            "telephone_number": "302-227-2008",
            "fax_number": "302-227-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "AMY",
        "middle_name": "MELISSA-WELDON",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "DE",
            "license": "J2-0000665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marguerite Recicar, M.P.T.
• Kirstin Anne Redefer
• Rehoboth Beach Volunteer Fire Co., Inc.
• Tim Rennick
• David G. Reyes, M.D, FAAFP
• Matthew Thomas Richards, M.D.
• Emily Richardson, D.M.D.
• Gregory Rinker, RPH
• Amber Rittenhouse
• David Robinson, MD

• Physical Therapy Assistant in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Physical Therapy Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.