Daniel McReynolds, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160454305 Issued in WA

Practice address

203 E Dalke Ave
Spokane, WA 99208-8112

Phone

(509) 483-8228

Fax

(509) 483-8338

NPI assigned

Jul 24, 2014

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1083022859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E DALKE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088112",
            "telephone_number": "509-483-8228",
            "fax_number": "509-483-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E DALKE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088112",
            "telephone_number": "509-483-8228",
            "fax_number": "509-483-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCREYNOLDS",
        "first_name": "DANIEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160454305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "P160454305",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy James McQuaid, M.ED.
• Janine D McQuain, PA-C
• Megan Rae McQuarrie, LMT
• Betty Ann McQuirk, MS
• Mary Jo McQuirk, MS
• Kaylee McReynolds
• Paige L McReynolds, PT
• Scott Jacob McShane, DO
• Jenefer McSharry, M.ED.
• Elizabeth Marie McTeer, M.A.

• Physical Therapy Assistant in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.