Luke Reynolds, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

07882 Issued in MD

Practice address

9909 Medical Center Dr
Rockville, MD 20850-6361

Phone

(240) 864-6000

NPI assigned

Oct 6, 2016

Last updated

Oct 6, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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 1891053328
  Medicare reassignment NPD
• My Medical PC

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  • Valley Cottage, NY
  • NPI 1518637891
  NPD
• K & H Medical PLLC

  • Vascular & Interventional Radiology Physician
  • Bethpage, NY
  • NPI 1518458751
  NPD (past)

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1679023287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 TUNLAW RD NW",
            "address_2": "#119",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200074807",
            "telephone_number": "315-879-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 MEDICAL CENTER DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506361",
            "telephone_number": "240-864-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "LUKE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "07882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosmeri Reyes
• Sofia Reyes
• Steven Reyes
• Abigail Reynolds
• Anita Reynolds
• Ronicesha Reynolds
• Atefeh Rezaei Boroun
• Neda Rezaei
• Gonzalo Rezk
• Jay Won Rhee

• Speech-Language Pathologist in Rockville, MD
• Providers in Rockville, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.