Elizabeth Nicole Reynolds

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4869 Issued in AR

Practice address

6005 Noble Rd
Jacksonville, AR 72076-9756

Phone

(870) 759-5055

NPI assigned

Jul 14, 2023

Last updated

Apr 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth White Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gross Therapy Services, Inc.

  • Physical Therapist
  • Mountain Home, AR
  • NPI 1033236468

  Physical Therapy Assistant

  NPD

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1760161939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 NOBLE RD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720769756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 NOBLE RD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720769756",
            "telephone_number": "870-759-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ELIZABETH",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "4869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WHITE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ny'Toria Reed
• Whitney Reed, APRN
• Regional Care of Jacksonville, LLC (Woodland Hills Healthcare and Rehabilitation of Jacksonville)
• Breanna Renner, QBHP
• Rex Edward Luttrell MD PA
• Kadijah Bernice Richardson
• Lindsay Palmer Richardson, PHARMD
• Anjanette Rochelle Ricks
• Rebecca Riemer
• Cayley Maranda Riley, QBHP

• Physical Therapy Assistant in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.