Robert Colby Reynoldson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10983 Issued in AZ

Practice address

8400 E Florentine Rd
Prescott Valley, AZ 86314-8653

Phone

(928) 775-9999

Fax

(928) 775-9998

NPI assigned

Jun 30, 2014

Last updated

Feb 1, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1497160253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 E FLORENTINE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148653",
            "telephone_number": "928-775-9999",
            "fax_number": "928-775-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 E FLORENTINE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148653",
            "telephone_number": "928-775-9999",
            "fax_number": "928-775-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDSON",
        "first_name": "ROBERT",
        "middle_name": "COLBY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01699221",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12778513",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "962931",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rescare Arizona, Inc.
• Rescare Arizona, Inc.
• Rescare Arizona, Inc.
• Brian Max Rex, DPM
• Bailey Reynolds, AUD
• Shirley Rheinfelder, M.D.
• Preston Winslow Rhoades, PHARM D
• D'Onna Richardson
• Sharon Richardson, RPH
• Melissa S Richey, FNP-C

• Physical Therapist in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.