Active NPI
Julianna Faith Reynolds, OTR/L
- Occupational Therapist
- Aiken, SC
National Provider Identifier
1437467552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.3727
- Practice address
- 4011 Woodvalley Dr
Aiken, SC 29803-8421 - Phone
- (803) 648-4360
- NPI assigned
- Sep 23, 2010
- Last updated
- Sep 23, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT.3727 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Arts Physical Therapy | Current | Accepting new patients | |
| Just Kids Therapy Services, Inc. | Past | Accepting new patients | |
| Dialysis Center of Forsyth LLC | Past | 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.
-
dba Monroe Physical Therapy
- Physical Therapist
- Forsyth, GA
- NPI 1659552461
-
- Pediatric Occupational Therapist
- Aiken, SC
- NPI 1043374838
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Forsyth, GA
- NPI 1982125142
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.