Individual provider Active NPI

Charlotte Gilbert Reynolds, DPT

  • Physical Therapist
  • Birmingham, AL
National Provider Identifier
1720842107
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH11704 Issued in AL
Practice address
3125 Independence Dr Ste 300B
Birmingham, AL 35209-4168
Phone
(205) 263-2770
Fax
(205) 263-0994
NPI assigned
Feb 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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 PTH11704 AL Primary

Addresses

Primary practice location

3125 Independence Dr Ste 300B
Birmingham, AL 35209-4168

Mailing address

3125 Independence Dr Ste 300B
Birmingham, AL 35209-4168
Phone (205) 263-2770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240326001084 AL Practitioner - Physical Therapist in Private Practice 5193162113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ew Motion Therapy Homewood LLCGroup PAC ID 3870584089, 18 clinicians

Practice addresses (Care Compare)

3125 Independence Dr
Suite 300B
Birmingham, AL 35209-4168
Phone (205) 263-2770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH11704ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ew Motion Therapy Homewood LLC Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients

Locations

3125 Independence Dr
Ste 300B
Homewood, AL 35209
Phone (205) 263-2770

Organizations & group practices 1

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": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1720842107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 INDEPENDENCE DR STE 300B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094168",
            "telephone_number": "205-263-2770",
            "fax_number": "205-263-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 INDEPENDENCE DR STE 300B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094168",
            "telephone_number": "205-263-2770",
            "fax_number": "205-263-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "CHARLOTTE",
        "middle_name": "GILBERT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.