Individual provider Active NPI

Jennifer Lynne Reynolds, OTRL

  • Occupational Therapist
  • Boston, MA
National Provider Identifier
1023225083
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5618 Issued in MA
Practice address
Tufts New England Medical Center 750 Washington Street
Boston, MA 02111
Phone
(617) 636-5000
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5618 MA Primary

Addresses

Primary practice location

Tufts New England Medical Center 750 Washington Street
Boston, MA 02111

Mailing address

58 Hurley Cir
Marlborough, MA 01752-1929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL, MA, WA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20241011001976 CA Practitioner - Occupational Therapist in Private Practice 3476085713 Reassigns benefits to 2 organizations
I20260204000993 FL Practitioner - Occupational Therapist in Private Practice 3476085713 Reassigns benefits to 1 organization
I20260205003726 MA Practitioner - Occupational Therapist in Private Practice 3476085713 Reassigns benefits to 1 organization
I20260211001691 WA Practitioner - Occupational Therapist in Private Practice 3476085713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Xrhealth USA IncGroup PAC ID 2264867704, 31 clinicians

Practice addresses (Care Compare)

Needham, MA 02494
Phone (857) 990-6111

Destin, FL 32541
Phone (857) 990-6111

San Jose, CA 95134
Phone 85799061112

Olympia, WA 98501
Phone (857) 990-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17634CAMDPhysical Therapist
5618MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Xrhealth USA Inc CurrentSince Jan 28, 2026 Accepting new patients
Coastal Mobile Therapy a Professional Physical Therapy Corp CurrentSince Nov 18, 2024 Accepting new patients

Locations

300 1st Ave
Ste 103
Needham Heights, MA 02494
Phone (888) 977-6828

711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023225083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 HURLEY CIR",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TUFTS NEW ENGLAND MEDICAL CENTER 750 WASHINGTON STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-636-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "5618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.