Organization Active NPI

Reynolds Physical Therapy LLC

  • Physical Therapist
  • Riverside, RI
National Provider Identifier
1730898529
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REYNOLDS PHYSICAL THERAPY LLC
Practice address
250 Wampanoag TRL Ste 208
Riverside, RI 02915-2218
Phone
(773) 710-4295
NPI assigned
Nov 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Jennifer ReynoldsNPI 1881739738
Title
DPT
Phone
(773) 710-4295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

250 Wampanoag TRL Ste 208
Riverside, RI 02915-2218

Mailing address

10 Pine Top Rd
Barrington, RI 02806-1706
Phone (773) 710-4295

National Provider Directory

National Provider Directory

Locations

250 Wampanoag Trl
Ste 208
Riverside, RI 02915
Phone (773) 710-4295

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1730898529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PINE TOP RD",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028061706",
            "telephone_number": "773-710-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WAMPANOAG TRL STE 208",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152218",
            "telephone_number": "773-710-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-20",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "773-710-4295"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.