Jessica H Reynolds, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

P17395 Issued in NC

Practice address

843 Wake Forest Business Park Ste 110
Wake Forest, NC 27587-6578

Phone

(919) 570-7080

Fax

(919) 570-7081

NPI assigned

Aug 8, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rex Hospital Inc

  • Diagnostic Radiology Physician
  • Raleigh, NC
  • NPI 1831613363
  NPD (past)

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1164901575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 WAKE FOREST BUSINESS PARK STE 110",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876578",
            "telephone_number": "919-570-7080",
            "fax_number": "919-570-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 WAKE FOREST BUSINESS PARK STE 110",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876578",
            "telephone_number": "919-570-7080",
            "fax_number": "919-570-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JESSICA",
        "middle_name": "H",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "P17395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renewing Paths Counseling Services, PLLC
• Catherine Restrepo, MS, CCC-SLP
• Retina Institute of North Carolina, PC
• Jennifer Revoir, LCSW
• Jake Reynolds, DMD, MSD
• Riccobene & Associates I, DDS, P.a.
• Ashley Rice, DPT
• Angela Richardson, LPCA
• Luann F Richardson, PNP
• Bri-Ann Richter-Abitol, LPC,LMHC

• Physical Medicine & Rehabilitation Physician in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Physical Medicine & Rehabilitation Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.