Active NPI
Tonya Reynolds-Taylor, PT, MS
- Physical Therapist
- Kent, OH
National Provider Identifier
1558410746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011778
- 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, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 011778 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Oh, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | 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.
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- NPI 1265968481
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- Independence, MO
- NPI 1871072462
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.