Active NPI
Michael Joseph Reynolds, DPT
- Physical Therapist
- Dover, DE
National Provider Identifier
1528020989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0003684
- Practice address
- 285 Beiser Blvd Ste 202
Dover, DE 19904-7804 - Phone
- (302) 747-5995
- Fax
- (302) 244-0144
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- 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 | J1-0003684 | DE | Primary |
Addresses
Primary practice location
285 Beiser Blvd Ste 202
Dover, DE 19904-7804
Mailing address
645 6TH Ave
Lindenwold, NJ 08021-3554
Phone (856) 473-5399
Other practice location 1
128 Greentree Dr
Dover, DE 19904-7648
Phone (302) 674-4192
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT Inc | Past | Accepting new patients | |
| Reconstructive Orthopedics, PA | Past | Accepting new patients | |
| Rehabclinics SPT, Inc. | Past | Accepting new patients | |
| Reconstructive Orthopedics, PA | Past | Accepting new patients | |
| Ultima Rehab-NJ LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Marlton, NJ
- NPI 1659319002
-
- Orthopaedic Surgery Physician
- Pitman, NJ
- NPI 1861055998
-
- Physical Therapy Clinic/Center
- Manahawkin, NJ
- NPI 1043271216
-
- Physical Therapy Clinic/Center
- Chalfont, PA
- NPI 1952009482
-
- Geriatric Physical Therapist
- Wall Township, NJ
- NPI 1427426485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1528020989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 6TH AVE",
"city": "LINDENWOLD",
"state": "NJ",
"postal_code": "080213554",
"telephone_number": "856-473-5399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 BEISER BLVD STE 202",
"city": "DOVER",
"state": "DE",
"postal_code": "199047804",
"telephone_number": "302-747-5995",
"fax_number": "302-244-0144"
}
],
"practiceLocations": [
{
"address_1": "128 Greentree Dr",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "DE",
"postal_code": "199047648",
"country_code": "US",
"telephone_number": "302-674-4192",
"fax_number": "302-674-4195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0003684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.