Lisa A. Reynolds, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3465 Issued in NC

Practice address

3188 Siler Cty Snow CP Rd
Siler City, NC 27344-7232

Phone

(919) 663-4585

Fax

(888) 220-3443

NPI assigned

Nov 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Laurel Ridge Physical Therapy & Associates

  • Pediatric Physical Therapist
  • Siler City, NC
  • NPI 1609407568
  NPD (past) Authorized official

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1598836918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3188 SILER CTY SNOW CP RD",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273447232",
            "telephone_number": "919-663-4585",
            "fax_number": "888-220-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3188 SILER CTY SNOW CP RD",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273447232",
            "telephone_number": "919-663-4585",
            "fax_number": "888-220-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "LISA",
        "middle_name": "A.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "3465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "71343",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7271343",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Clayborn Pulliam II, PA-C
• Q1 Clinical Consultants, LLC
• Jonda Quintero
• Rao N Kothapalli MD PA
• George Restrepo, DO
• Sherry Lee Rider, M.ED., LSAC-A
• Diana Rivera-Burgos, MSW, LCSW-A
• Irainy Rivera-Delgado
• William Don Roscoe Jr., OD
• Howard Renaldo Santos, PHARM.D.

• Physical Therapist in Siler City, NC
• Providers in Siler City, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.