Sandra Gail Reynolds, M.S.CCC/SOLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

673 Issued in KY

Practice address

5659 Main St
Thelma, KY 41260-8609

Phone

(606) 788-6600

Fax

(606) 788-7076

NPI assigned

Sep 2, 2009

Last updated

Sep 2, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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.

• Commonwealth of Kentucky

  dba Oakwood Specialty Intermediate Care Clinic

  • Multi-Specialty Clinic/Center
  • Somerset, KY
  • NPI 1245657857
  NPD (past)
• Commonwealth of Kentucky

  • Physical Disabilities Residential Treatment Facility
  • Thelma, KY
  • NPI 1770762833
  NPD (past)

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1407089857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5659 MAIN ST",
            "city": "THELMA",
            "state": "KY",
            "postal_code": "412608609",
            "telephone_number": "606-788-6600",
            "fax_number": "606-788-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 MAIN ST",
            "city": "THELMA",
            "state": "KY",
            "postal_code": "412608609",
            "telephone_number": "606-788-6600",
            "fax_number": "606-788-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SANDRA",
        "middle_name": "GAIL",
        "name_prefix": "Miss",
        "credential": "M.S.CCC/SOLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Kay Hall, OTR/L
• Susan Marie Miller, OTR
• Robin Barker O'Bryan, PT
• Sherry Le Ann Prater, M.A. CCC/SOLP
• Barbara Ann Pugh, M.S., CCC/SLP, ATP
• Amanda Elaine Tackett, PTA

• Speech-Language Pathologist in Thelma, KY
• Providers in Thelma, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.