Individual provider Active NPI

Emma Reynolds, PT

  • Physical Therapist
  • Bentonville, AR
National Provider Identifier
1538044540
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
210 N Walton Blvd Ste 26
Bentonville, AR 72712-5081
Phone
(859) 585-7338
NPI assigned
Aug 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

210 N Walton Blvd Ste 26
Bentonville, AR 72712-5081

Mailing address

210 N Walton Blvd Ste 26
Bentonville, AR 72712-5081
Phone (859) 585-7338

Other practice location 1

2522 S Pinnacle Hills Pkwy Ste 200
Rogers, AR 72758-1419
Phone (479) 440-4147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251021000122 AR Practitioner - Physical Therapist in Private Practice 2668960931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renew Physical Therapy PLLCGroup PAC ID 9133526262, 7 clinicians

Practice addresses (Care Compare)

210 N Walton Blvd
Suite 26
Bentonville, AR 72712-5081
Phone (479) 440-4147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Physical Therapy PLLC Physical Therapist CurrentSince Aug 18, 2025 Accepting new patients

Locations

210 N Walton Blvd
Ste 26
Bentonville, AR 72712
Phone (479) 440-4147

2522 S Pinnacle Hills Pkwy
Ste 200
Rogers, AR 72758
Phone (479) 440-4147

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.

NPI Registry JSON

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1538044540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N WALTON BLVD STE 26",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125081",
            "telephone_number": "859-585-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N WALTON BLVD STE 26",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125081",
            "telephone_number": "859-585-7338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2522 S Pinnacle Hills Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727581419",
            "country_code": "US",
            "telephone_number": "479-440-4147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "EMMA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.

Verify at the official NPI Registry.