Individual provider Active NPI

Tonya Reynolds-Taylor, PT, MS

  • Physical Therapist
  • Kent, OH
National Provider Identifier
1558410746
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011778 Issued in OH
Practice address
1290 Fairchild Ave
Kent, OH 44240-1814
Phone
(330) 678-4912
Fax
(330) 968-4944
NPI assigned
Jan 9, 2007
Last updated
Jul 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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 011778 OH Primary

Addresses

Primary practice location

1290 Fairchild Ave
Kent, OH 44240-1814

Mailing address

655 State Route 303
Streetsboro, OH 44241-5255
Phone (606) 233-7864

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171206001353 OH Practitioner - Physical Therapist in Private Practice 8022375641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19455 Rockside Rd
Bedford, OH 44146-2000
Phone (440) 305-7511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
011778OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Oh, LLC Physical Therapist CurrentSince Dec 3, 2018 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Nov 1, 2017 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Nov 1, 2017 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

6525 N High St
Worthington, OH 43085
Phone (332) 230-2813

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1558410746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 STATE ROUTE 303",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415255",
            "telephone_number": "606-233-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 FAIRCHILD AVE",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442401814",
            "telephone_number": "330-678-4912",
            "fax_number": "330-968-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS-TAYLOR",
        "first_name": "TONYA",
        "credential": "PT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "011778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.