Active NPI
Jonathan F. Reynolds, PHYSICAL THERAPIST
- Physical Therapist
- Eagan, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6944
- Practice address
- 2119 Cliff Rd
Eagan, MN 55122-2345 - Phone
- (651) 688-7500
- Fax
- (763) 260-7653
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6944 | MN | Primary |
Addresses
Primary practice location
2119 Cliff Rd
Eagan, MN 55122-2345
Mailing address
1939 Minnehaha Ave W Ste 300
Saint Paul, MN 55104-1033
Phone (651) 748-4338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2119 Cliff Rd
Eagan, MN 55122-2345
Phone (651) 688-7500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Partners, Inc. | Physical Therapist | Current | Accepting new patients |
| Therapy Partners Inc | Physical Therapist | Current | Accepting new patients |
| Waypoint Minnesota PC | Past | Accepting new patients |
Locations
11995 Singletree Ln
Ste 120
Eden Prairie, MN 55344
Phone (952) 373-5720
9325 Upland Ln N
Ste 230
Maple Grove, MN 55369
Phone (763) 242-3436
43 SE Main St
Ste 223
Minneapolis, MN 55414
Phone (612) 331-5757
1939 Minnehaha Ave W
Ste 300
Saint Paul, MN 55104
2119 Cliff Rd
Saint Paul, MN 55122
Phone (612) 251-8173
1700 Tower Dr W
Stillwater, MN 55082
Phone (651) 275-4706
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Saint Paul, MN
- NPI 1407809494
Physical Therapist
-
- Physical Therapist
- Forest Lake, MN
- NPI 1821179607
-
- Chiropractor
- Maple Grove, MN
- NPI 1699112805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1720168362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 MINNEHAHA AVE W STE 300",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551041033",
"telephone_number": "651-748-4338",
"fax_number": "651-748-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2119 CLIFF RD",
"city": "EAGAN",
"state": "MN",
"postal_code": "551222345",
"telephone_number": "651-688-7500",
"fax_number": "763-260-7653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "JONATHAN",
"middle_name": "F.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "6944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.