Active NPI
Charles Christopher Reynolds, PT MHS CHT
- Hand Physical Therapist
- Phoenix, AZ
National Provider Identifier
1275521502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Physical Therapist
- License
- 0880
- Practice address
- 690 N Cofco Center CT
Suite 260
Phoenix, AZ 85008-6462 - Phone
- (602) 279-6905
- Fax
- (888) 445-4263
- NPI assigned
- Oct 11, 2005
- 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 |
|---|---|---|---|---|
| Hand Physical Therapist | 2251H1200X | 0880 | AZ | Primary |
Addresses
Primary practice location
690 N Cofco Center CT
Suite 260
Phoenix, AZ 85008-6462
Mailing address
690 N Cofco Center CT
Suite 260
Phoenix, AZ 85008-6462
Phone (602) 279-6905
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 095994 | Medicaid | AZ | |
| Z113264 | Other | AZ | MEDICARE GROUP |
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 |
|---|---|---|---|
| 880 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Hand Therapy LLC | Hand | Past | Accepting new patients |
| DHT Hand Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
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.
-
- Hand Occupational Therapist
- Phoenix, AZ
- NPI 1285622514
-
dba Desert Hand and Physical Therapy
- Physical Therapist
- Peoria, AZ
- NPI 1245982693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1275521502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 N COFCO CENTER CT",
"address_2": "SUITE 260",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086462",
"telephone_number": "602-279-6905",
"fax_number": "888-445-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 N COFCO CENTER CT",
"address_2": "SUITE 260",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086462",
"telephone_number": "602-279-6905",
"fax_number": "888-445-4263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "CHARLES",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "PT MHS CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": "AZ",
"license": "0880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "095994",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "Z113264",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.