Active NPI
Raechel Bradford Reynolds, DPT
- Physical Therapist
- Gastonia, NC
National Provider Identifier
1447499009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24556
- Practice address
- 2557 Pembroke Rd
Gastonia, NC 28054-4712 - Phone
- (980) 320-8275
- NPI assigned
- Feb 5, 2009
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24556 | FL | Primary |
Addresses
Primary practice location
2557 Pembroke Rd
Gastonia, NC 28054-4712
Mailing address
2705 Lakefront Dr
Belmont, NC 28012-8630
Phone (229) 834-2004
Other practice location 1
250 International Pkwy Ste 260
Lake Mary, FL 32746-5022
Phone (800) 806-6026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24556 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Hands on Therapy, PC | Physical Therapist | Past | Accepting new patients |
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.
-
- Pediatric Occupational Therapist
- Gastonia, NC
- NPI 1255456513
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1447499009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2705 LAKEFRONT DR",
"city": "BELMONT",
"state": "NC",
"postal_code": "280128630",
"telephone_number": "229-834-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2557 PEMBROKE RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280544712",
"telephone_number": "980-320-8275"
}
],
"practiceLocations": [
{
"address_1": "250 International Pkwy Ste 260",
"address_purpose": "LOCATION",
"city": "Lake Mary",
"state": "FL",
"postal_code": "327465022",
"country_code": "US",
"telephone_number": "800-806-6026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "RAECHEL",
"middle_name": "BRADFORD",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-05",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "24556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.