Jaylynn Reynolds-Farr, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT005495 Issued in GA

Practice address

3604 Verandah Drive
Suite E
Augusta, GA 30909

Phone

(706) 736-0221

Fax

(706) 736-0231

NPI assigned

Nov 30, 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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1043387145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 VERANDAH DRIVE",
            "address_2": "SUITE E",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "706-736-0221",
            "fax_number": "706-736-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 VERANDAH DRIVE",
            "address_2": "SUITE E",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "706-736-0221",
            "fax_number": "706-736-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS-FARR",
        "first_name": "JAYLYNN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT005495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000946063C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "340887",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GEORGIA",
            "identifier": "52991634-001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Revive Healthcare Solutions LLC
• Juan Manuel Revuelta Barbero, MD, PHD
• Camilo Reyes Gelves, M.D
• Alondra Jaynice Reyes Landron
• Ryan Reyes
• Bradford Z. Reynolds, MD
• Kristen M Reynolds, DO
• Isabella Rhangos, MD
• Todd Rheins, P.T.
• Katherine Tyeryar Rhinehart, MA, CCC-SLP

• Physical Therapist in Augusta, GA
• Providers in Augusta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.