Individual provider Active NPI

Candice Lauren Reynolds, DPT

  • Physical Therapist
  • West Chester, OH
National Provider Identifier
1255837043
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012669 Issued in OH
Practice address
8781 Cincinnati Dayton Rd
West Chester, OH 45069-3136
Phone
(513) 733-3370
Fax
(513) 786-7893
NPI assigned
Apr 2, 2018
Last updated
Apr 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 012669 OH Primary

Addresses

Primary practice location

8781 Cincinnati Dayton Rd
West Chester, OH 45069-3136

Mailing address

10400 Reading Rd Ste 105
Cincinnati, OH 45241-4839
Phone (513) 733-3370

Other identifiers 1

IdentifierTypeStateIssuer
012669OtherOHLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190218001710 OH Practitioner - Physical Therapist in Private Practice 5799023792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Physical Therapy and Associates IncGroup PAC ID 2668449240, 3 clinicians

Practice addresses (Care Compare)

10400 Reading Rd
Suite 105
Cincinnati, OH 45241-4839
Phone (513) 733-3370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012669OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Physical Therapy and Associates Inc. CurrentSince Feb 4, 2019 Accepting new patients
Rehabilitation Institute of Cincinnati, LLC PastSince Feb 4, 2019 Accepting new patients

Locations

10400 Reading Rd
Ste 105
Cincinnati, OH 45241
Phone (513) 733-3370

1200 Glendale Milford Rd
Cincinnati, OH 45215
Phone (513) 733-3370

8781 Cincinnati Dayton Rd
West Chester, OH 45069
Phone (513) 733-3370

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1255837043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 READING RD STE 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414839",
            "telephone_number": "513-733-3370",
            "fax_number": "513-786-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8781 CINCINNATI DAYTON RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693136",
            "telephone_number": "513-733-3370",
            "fax_number": "513-786-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "CANDICE",
        "middle_name": "LAUREN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "012669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "012669",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.