Individual provider Active NPI

Katelyn Sumlin Reynolds, DPT

  • Physical Therapist
  • Kyle, TX
National Provider Identifier
1730793050
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1330537 Issued in TX
Practice address
21195B Ih 35
Kyle, TX 78640-5163
Phone
(512) 268-0000
NPI assigned
Sep 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1330537 TX Primary

Addresses

Primary practice location

21195B Ih 35
Kyle, TX 78640-5163

Mailing address

800 W Highway 290
Ste B300
Dripping Springs, TX 78620-4051
Phone (512) 858-5191

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240620000751 LA Practitioner - Physical Therapist in Private Practice 6800291287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melanie Massey Physical Therapy IncGroup PAC ID 5890784342, 24 clinicians

Practice addresses (Care Compare)

107 Summer LN
West Monroe, LA 71291-3501
Phone (318) 396-1969

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1330537TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie Massey Physical Therapy Inc Single Specialty CurrentSince Feb 1, 2025 Accepting new patients
Melanie Massey Infant & Toddler LLC Physical Therapist Past Accepting new patients

Locations

3177 Sterlington Rd
Monroe, LA 71203
Phone (318) 388-1989

107 Summer Ln
West Monroe, LA 71291
Phone (318) 396-1969

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1730793050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W HIGHWAY 290",
            "address_2": "STE B300",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786204051",
            "telephone_number": "512-858-5191",
            "fax_number": "512-858-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21195B IH 35",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405163",
            "telephone_number": "512-268-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KATELYN",
        "middle_name": "SUMLIN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1330537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.