Active NPI
Rachel E Reynolds, PT
- Physical Therapist
- Alton, IL
National Provider Identifier
1164689170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070015887
- Practice address
- 815 E 5TH St
Alton, IL 62002-6471 - Phone
- (618) 463-5171
- NPI assigned
- May 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070015887 | IL | Primary |
Addresses
Primary practice location
815 E 5TH St
Alton, IL 62002-6471
Mailing address
815 E 5TH St
Alton, IL 62002-6471
Phone (618) 463-5171
Other names 1
- Rachel Mueller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070015887 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back & Spine Medical Institute | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Fairview Heights, IL
- NPI 1871690081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1164689170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 E 5TH ST",
"city": "ALTON",
"state": "IL",
"postal_code": "620026471",
"telephone_number": "618-463-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 E 5TH ST",
"city": "ALTON",
"state": "IL",
"postal_code": "620026471",
"telephone_number": "618-463-5171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "RACHEL",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-19",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070015887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "MUELLER",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.