Individual provider Active NPI

Julianna Faith Reynolds, OTR/L

  • Occupational Therapist
  • Aiken, SC
National Provider Identifier
1437467552
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.3727 Issued in SC
Practice address
4011 Woodvalley Dr
Aiken, SC 29803-8421
Phone
(803) 648-4360
NPI assigned
Sep 23, 2010
Last updated
Sep 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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 OT.3727 SC Primary

Addresses

Primary practice location

4011 Woodvalley Dr
Aiken, SC 29803-8421

Mailing address

335 Alex LN
Augusta, GA 30909-2235
Phone (478) 955-5324

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131030000906 GA Practitioner - Occupational Therapist in Private Practice 3779718622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Medical College of Georgia School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Arts Physical TherapyGroup PAC ID 0547347817, 5 clinicians

Practice addresses (Care Compare)

120 N Lee St
Suite E
Forsyth, GA 31029-2122
Phone (478) 994-3390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.3727SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Arts Physical Therapy CurrentSince Oct 1, 2013 Accepting new patients
Just Kids Therapy Services, Inc. Past Accepting new patients
Dialysis Center of Forsyth LLC PastSince Oct 1, 2013 Accepting new patients

Locations

120 N Lee St
#E
Forsyth, GA 31029
Phone (478) 994-3390

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1437467552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 ALEX LN",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309092235",
            "telephone_number": "478-955-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 WOODVALLEY DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298038421",
            "telephone_number": "803-648-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JULIANNA",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "OT.3727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.