Individual provider Active NPI

David Raymond Reynolds, PT, DPT

  • Physical Therapist
  • Christiansburg, VA
National Provider Identifier
1710430426
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210488 Issued in VA
Practice address
227 Central Ave
Christiansburg, VA 24073-6093
Phone
(540) 585-4841
Fax
(540) 585-4842
NPI assigned
Jul 28, 2016
Last updated
Jul 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305210488 VA Primary

Addresses

Primary practice location

227 Central Ave
Christiansburg, VA 24073-6093

Mailing address

PO Box 1632
Christiansburg, VA 24068-1632
Phone (540) 585-4841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161013002210 VA Practitioner - Physical Therapist in Private Practice 0840588406 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305210488VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Therapies of Roanoke, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Professional Therapies of Roanoke, Inc. Physical Therapist Current Accepting new patients
Professional Therapies of Roanoke, Inc. CurrentSince Mar 1, 2023 Accepting new patients

Locations

21371 Forsythe Rd
Bristol, VA 24202
Phone (276) 209-6609

6800 Woodlake Commons Loop
Midlothian, VA 23112
Phone (804) 302-4589

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.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1710430426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1632",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240681632",
            "telephone_number": "540-585-4841",
            "fax_number": "540-585-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 CENTRAL AVE",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736093",
            "telephone_number": "540-585-4841",
            "fax_number": "540-585-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "DAVID",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.