Individual provider Active NPI

Katherine Hance Reynolds, DPT

  • Physical Therapist
  • Kilmarnock, VA
National Provider Identifier
1386875888
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305205744 Issued in VA
Practice address
500 Irvington Rd
Kilmarnock, VA 22482-0108
Phone
(804) 435-3435
NPI assigned
Jul 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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 2305205744 VA Primary

Addresses

Primary practice location

500 Irvington Rd
Kilmarnock, VA 22482-0108

Mailing address

500 Irvington Rd
Kilmarnock, VA 22482-0108
Phone (804) 435-3435

Other identifiers 4

IdentifierTypeStateIssuer
541726590OtherVACOMMERCIAL/WC CARRIER
009402331MedicaidVA
20091OtherVASENTARA
250404OtherVABCBS PROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091113000041 VA Practitioner - Physical Therapist in Private Practice 9638215098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carousel Physical Therapy, Inc.Group PAC ID 9931098928, 8 clinicians

Practice addresses (Care Compare)

500 Irvington Rd
Kilmarnock, VA 22482-9590
Phone (804) 435-3435

Merit-based Incentive Payment System (MIPS)

Final score
85.97 of 100Reported as individual
Quality
82
Improvement activities
40
Cost
77.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carousel Physical Therapy, Inc. Physical Therapist CurrentSince Aug 31, 2009 Accepting new patients

Locations

500 Irvington Rd
Kilmarnock, VA 22482
Phone (804) 435-3435

Organizations & group practices 1

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": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1386875888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 IRVINGTON RD",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224820108",
            "telephone_number": "804-435-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 IRVINGTON RD",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224820108",
            "telephone_number": "804-435-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KATHERINE",
        "middle_name": "HANCE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL/WC CARRIER",
            "identifier": "541726590",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009402331",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "20091",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "250404",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilmarnock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.