Shelby Reynoso, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2018020342 Issued in MO

Practice address

280 Interstate Dr
Wentzville, MO 63385-4510

Phone

(636) 327-3800

NPI assigned

Jul 20, 2018

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

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services PT Mo LLCGroup PAC ID 1254754948, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Fox Rehabilitation Services PT Mo LLC

  • Physical Therapist
  • Saint Charles, MO
  • NPI 1750906095
  Medicare reassignment Care Compare group NPD
• Wentzville School District

  • Developmentally Disabled Services Day Training Agency
  • Wentzville, MO
  • NPI 1811863491
  NPD

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1124505334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 INTERSTATE DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854510",
            "telephone_number": "636-327-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 INTERSTATE DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854510",
            "telephone_number": "636-327-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOSO",
        "first_name": "SHELBY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2018020342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nataliyah Donyelle Reed, LCSW
• Nicholas Reinagel, DDS
• Daniel Reising, MD
• Renewed Hope for Mental Health, LLC
• Resilient Training & Rehab
• Ria Medical, LLC
• Richard O. Follwell, P.C.
• Andre Richardson, PLPC
• Claudia Richardson, LCSW
• Kirbie Jo Richardson, LPC

• Physical Therapist in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.