Active NPI
Kevin Reynolds
- Physical Therapist
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 31462
- Practice address
- 1715 Cape Coral Pkwy W
Cape Coral, FL 33914-7029 - Phone
- (239) 542-0900
- NPI assigned
- Jun 29, 2016
- Sex
- Male
- 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 | 31462 | FL | Primary |
Addresses
Primary practice location
1715 Cape Coral Pkwy W
Cape Coral, FL 33914-7029
Mailing address
1715 Cape Coral Pkwy W
Cape Coral, FL 33914-7029
Phone (239) 542-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180410001891 | FL | Practitioner - Physical Therapist in Private Practice | 8325301088 | Reassigns benefits to 8 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fitness Quest - Venice LLC
Practice addresses (Care Compare)
400 Tamiami TRL S
Suite 210
Venice, FL 34285-2626
Phone 87746937782004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31462 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitness Quest - Punta Gorda LLC | Physical Therapist | Current | Accepting new patients |
| Fitness Quest - North Port LLC | Physical Therapist | Current | Accepting new patients |
| Baylife Physical Therapy & Rehabilitation Inc | Physical Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
| Fitness Quest - Venice LLC | Physical Therapist | Current | Accepting new patients |
| Aegis Group Practice, LLC | Physical Therapist | Current | Accepting new patients |
| Fq0014 | Physical Therapist | Current | Accepting new patients |
| Fitness Quest - Venice LLC | Current | Accepting new patients | |
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
| Fitness Quest-Port Charlotte LLC | Physical Therapist | Current | Accepting new patients |
| Fq0016, LLC | Physical Therapist | Current | Accepting new patients |
| Baylife Physical Therapy & Rehabilitation, Inc. | Past | Accepting new patients |
Locations
3657 Cortez Rd W
Ste 110
Bradenton, FL 34210
Phone (941) 361-9020
10201 Arcos Ave
Ste 204
Estero, FL 33928
Phone (724) 223-2061
11930 Fairway Lakes Dr
Ste 103104
Fort Myers, FL 33913
Phone (239) 687-3224
11930 Fairway Lakes Dr
Fort Myers, FL 33913
Phone (239) 687-3224
3530 Sandalwood Cir
Naples, FL 34109
Phone (239) 770-4367
18900 N Tamiami Trl
Ste A5
North Ft Myers, FL 33903
Phone (239) 451-4922
2530 Bobcat Village Center Rd
Unit C
North Port, FL 34288
Phone (941) 426-7400
1649 Tamiami Trl
Ste 1A
Pt Charlotte, FL 33948
Phone (941) 743-6700
530 E Olympia Ave
#112
Punta Gorda, FL 33950
Phone (941) 575-7300
530 E Olympia Ave
Ste 112
Punta Gorda, FL 33950
Phone (941) 575-7300
8950 Dr Ml King Jr St N
Ste 101
St Petersburg, FL 33702
Phone (727) 520-0800
400 Tamiami Trl S
Ste 210
Venice, FL 34285
Phone (877) 469-3778
470 Johnson Rd
Ste 100
Washington, PA 15301
Organizations & group practices 13
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 Therapy Clinic/Center
- Lakewood Ranch, FL
- NPI 1033129895
FL, Physical Therapist
-
- Physical Therapist
- St Petersburg, FL
- NPI 1760401434
FL, Physical Therapist
-
- Physical Therapy Clinic/Center
- North Port, FL
- NPI 1639257405
FL, Physical Therapist
-
- Physical Therapy Clinic/Center
- Punta Gorda, FL
- NPI 1043220817
FL, Physical Therapist
-
- Physical Therapy Clinic/Center
- Port Charlotte, FL
- NPI 1679761696
FL, Physical Therapist
-
- Physical Therapy Clinic/Center
- North Fort Myers, FL
- NPI 1134885148
FL, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Longboat Key, FL
- NPI 1427936889
-
- Durable Medical Equipment & Medical Supplies
- Lakewood Ranch, FL
- NPI 1871471235
-
- Physical Therapist
- Indian Harbour Beach, FL
- NPI 1932072030
-
- Occupational Therapist
- Port Charlotte, FL
- NPI 1124527189
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1235580309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 CAPE CORAL PKWY W",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339147029",
"telephone_number": "239-542-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 CAPE CORAL PKWY W",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339147029",
"telephone_number": "239-542-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "KEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-29",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "31462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.