Active NPI
Kendall Rose Reynolds, DPT
- Physical Therapist
- Tampa, FL
National Provider Identifier
1447574611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT25403
- Practice address
- 610 S Armenia Ave Ste 3
Tampa, FL 33609-4196 - Phone
- (813) 508-2553
- NPI assigned
- Mar 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | PT25403 | FL | Primary |
Addresses
Primary practice location
610 S Armenia Ave Ste 3
Tampa, FL 33609-4196
Mailing address
610 S Armenia Ave Ste 3
Tampa, FL 33609-4196
Phone (813) 508-2553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| QRM Plus Florida LLC | Physical Therapist | Current | Accepting new patients |
Locations
670 Flushing Ave
Ste 307
Brooklyn, NY 11206
5057 Keller Springs Rd
Ste 150
Addison, TX 75001
Phone (800) 420-1036
4949 Westgrove Dr
Dallas, TX 75248
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.
-
- Physical Therapist
- Clearwater, FL
- NPI 1851061394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1447574611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 S ARMENIA AVE STE 3",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094196",
"telephone_number": "813-508-2553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 S ARMENIA AVE STE 3",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094196",
"telephone_number": "813-508-2553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "KENDALL",
"middle_name": "ROSE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-17",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT25403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.