Individual provider Active NPI

Shelby Reynolds

  • Occupational Therapist
  • Little Rock, AR
National Provider Identifier
1336013176
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR4133 Issued in AR
Practice address
2101 Rahling Rd Apt B
Little Rock, AR 72223-7504
Phone
(501) 650-8217
NPI assigned
Oct 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR4133 AR Primary

Addresses

Primary practice location

2101 Rahling Rd Apt B
Little Rock, AR 72223-7504

Mailing address

2101 Rahling Rd Apt B
Little Rock, AR 72223-7504

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251104004683 AR Practitioner - Occupational Therapist in Private Practice 8820588213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RWW Senior Living Outpatient Rehab Services LLCGroup PAC ID 2163954314, 56 clinicians

Practice addresses (Care Compare)

2101 Rahling Rd
Apt B
Little Rock, AR 72223-7504
Phone (501) 650-8217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR4133ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Senior Living Outpatient Rehab Services LLC CurrentSince Oct 3, 2025 Accepting new patients
RWW Senior Living Outpatient Rehab Services, LLC CurrentSince Oct 3, 2025 Accepting new patients

Locations

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1336013176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 RAHLING RD APT B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722237504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 RAHLING RD APT B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722237504",
            "telephone_number": "501-650-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SHELBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR4133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.