Individual provider Active NPI

Allison Reynolds, PT, OTR/L

  • Physical Therapist
  • Fresno, CA
National Provider Identifier
1659839157
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
292034 Issued in CA
Practice address
7080 N Maple Ave Ste 101
Fresno, CA 93720-8003
Phone
(559) 326-5580
NPI assigned
Mar 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 15179 CA
Physical Therapist 225100000X 292034 CA Primary

Addresses

Primary practice location

7080 N Maple Ave Ste 101
Fresno, CA 93720-8003

Mailing address

2059 E Omaha Ave
Fresno, CA 93720-0446
Phone (559) 905-3941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190429000833 CA Practitioner - Physical Therapist in Private Practice 3072855725 Reassigns benefits to 2 organizations
I20260625003783 CA Practitioner - Occupational Therapist in Private Practice 3072855725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
L and J Telesmanic Rehab Systems, Inc.Group PAC ID 3072684208, 4 clinicians

Practice addresses (Care Compare)

7065 N Chestnut Ave
Fresno, CA 93720-0355
Phone (559) 439-7041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15179CAMDClinical Child & Adolescent Psychologist
292034CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Telesmanic Rehabilitation Inc. CurrentSince Dec 19, 2023 Accepting new patients
L & J Telesmanic Rehab Systems, Inc. Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Reedley Physical Therapy Inc Physical Therapist PastSince Dec 19, 2023 Accepting new patients
Advanced Physical and Occupational Therapy Physical Therapist PastSince Apr 1, 2019 Accepting new patients

Locations

7065 N Chestnut Ave
Ste 101
Fresno, CA 93720
Phone (559) 439-7041

1756 11th St
Reedley, CA 93654
Phone (559) 638-1171

Organizations & group practices 4

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": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1659839157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 E OMAHA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200446",
            "telephone_number": "559-905-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 N MAPLE AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208003",
            "telephone_number": "559-326-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "PT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "15179",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.