Kendra Ervin McReynolds, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305005272 Issued in VA

Practice address

136 Bristol East Rd
Bristol, VA 24202-5500

Phone

(276) 591-5484

Fax

(276) 591-5477

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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)

Enrolled

Practice roles

Locations

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

• WPS Providers Inc

  • General Practice Physician
  • Kingsport, TN
  • NPI 1003904095
  NPD

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053496034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16937",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242096937",
            "telephone_number": "276-591-5484",
            "fax_number": "276-591-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 BRISTOL EAST RD",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242025500",
            "telephone_number": "276-591-5484",
            "fax_number": "276-591-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCREYNOLDS",
        "first_name": "KENDRA",
        "middle_name": "ERVIN",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305005272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Lynn McFaddin-Dye, PHARMD
• Timothy G McGarry, MD
• McGlothlin Wig Company
• Christine Wright McKenzie, MSC
• Holly McNew, M.D.
• Pamela Kay Meade, LCSW
• Travis Nathaniel Meade, RN
• Michelle Hejny
• Miller Family & Sports Chiropractic, LLC
• April D Miller, PTA

• Physical Therapist in Bristol, VA
• Providers in Bristol, VA by specialty
• Physical Therapist in Virginia

• 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.