Individual provider Active NPI

Cassandra Grace Reynolds, COTA/L

  • Occupational Therapy Assistant
  • Lexington, KY
National Provider Identifier
1730699620
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
7137 Issued in AZ
Practice address
3900 Crosby Dr Apt 102
Lexington, KY 40515
Phone
(513) 600-9979
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 7137 AZ Primary

Addresses

Primary practice location

3900 Crosby Dr Apt 102
Lexington, KY 40515

Mailing address

3900 Crosby Dr Apt 102
Lexington, KY 40515-1858
Phone (513) 600-9979

Other practice location 1

2150 S Country Club Dr Ste 20
Mesa, AZ 85210-6879
Phone (480) 398-4280

Other practice location 2

2150 S Country Club Dr Ste 20
Mesa, AZ 85210-6879
Phone (480) 398-4280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7137AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Piller Child Development Past Accepting new patients
Piller Child Development LLC Past Accepting new patients

Organizations & group practices 2

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": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1730699620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CROSBY DR APT 102",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405151858",
            "telephone_number": "513-600-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CROSBY DR APT 102",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40515",
            "telephone_number": "513-600-9979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 S Country Club Dr Ste 20",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852106879",
            "country_code": "US",
            "telephone_number": "480-398-4280",
            "fax_number": "480-398-4281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 S Country Club Dr Ste 20",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852106879",
            "country_code": "US",
            "telephone_number": "480-398-4280",
            "fax_number": "480-398-4281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "CASSANDRA",
        "middle_name": "GRACE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "7137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.