Donald Ray Reynolds, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT34470 Issued in FL

Practice address

560 S Lakewood Dr
Brandon, FL 33511-5015

Phone

(813) 978-9700

NPI assigned

Apr 1, 2017

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1114459716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370915",
            "telephone_number": "813-978-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S LAKEWOOD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115015",
            "telephone_number": "813-978-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "362 Catalpa Ave",
            "address_purpose": "LOCATION",
            "city": "Harrogate",
            "state": "TN",
            "postal_code": "377528149",
            "country_code": "US",
            "telephone_number": "423-869-9923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "DONALD",
        "middle_name": "RAY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-01",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mairet Reyes Vazquez, RBT-25-403760
• Amber Reyes
• Danielle Reyes
• Gloria F. Reyes, RBT
• Madeline Reyes
• Tatiana Stepanova Reynolds, M.D.
• Haya Rezek, MD
• Rezilient Hope LLC
• Iury Veloso Ribeiro, M.D.
• Morgan Lee Rice

• Physical Therapist in Brandon, FL
• Providers in Brandon, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.