Susan Elizabeth Reynolds, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2021012181 Issued in CA

Practice address

1794 Primrose Dr
El Cajon, CA 92020-5649

Phone

(619) 368-6939

NPI assigned

Jan 17, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1629729033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 CAMINO DEGRAZIA UNIT 69",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921117844",
            "telephone_number": "619-368-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1794 PRIMROSE DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920205649",
            "telephone_number": "619-368-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "2021012181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "reynoldsphysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "1794 Primrose Dr",
            "city": "El Cajon",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920205649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jershie Ann Javier Reyes
• Maria Elizabeth Reyes, REGISTERED NURSE
• Melissa Reyes
• Kaitlin Reyna, RN, PHN, SCRN, CEOLD
• Victoria Reyna
• Alfonso Reynoso, D.C.
• Michael John Rhea, CADC III
• Melinda Rhoades, MA OTR/L
• Rhodes Chiropractic Inc.
• Debra Irene Rhodes-Cusker, D.C.

• Physical Medicine & Rehabilitation Physician in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.

Verify at the official NPI Registry.