Lisa Reynolds, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17-01847 Issued in KS

Practice address

24310 W 109TH Ter
Olathe, KS 66061-8852

Phone

(913) 952-0527

NPI assigned

Oct 16, 2020

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Elite Therapy, LLC

  dba Radius Therapy, LLC

  • Physical Therapy Clinic/Center
  • Olathe, KS
  • NPI 1700360419
  NPD

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1265030688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14974 S TURNBERRY ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660616033",
            "telephone_number": "816-810-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24310 W 109TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660618852",
            "telephone_number": "913-952-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "LISA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-01847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Revett
• Cami Jo Rexford, LMSW
• Esmeralda Anayi Reyes Vredenburg
• Andrea Lynn Reynolds, PHARMD
• Ashley Reynolds
• Madison Reynolds
• Stacy Rezek, SLP
• Rhoades Family Dentistry
• Ray Rhoades, DDS
• Anne Catherine Rhoads, MD

• Occupational Therapist in Olathe, KS
• Providers in Olathe, KS by specialty
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.