Active NPI
Lena Constante Reynolds, PT
- Physical Therapist
- San Bernardino, CA
National Provider Identifier
1801126008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22868
- Practice address
- 1845 Business Center Dr
Suite 127
San Bernardino, CA 92408-3467 - Phone
- (909) 890-9030
- Fax
- (909) 890-4393
- NPI assigned
- Jan 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22868 | CA | Primary |
Addresses
Primary practice location
1845 Business Center Dr
Suite 127
San Bernardino, CA 92408-3467
Mailing address
1845 Business Center Dr
Suite 127
San Bernardino, CA 92408-3467
Phone (909) 890-9030
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1801126008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 BUSINESS CENTER DR",
"address_2": "SUITE 127",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083467",
"telephone_number": "909-890-9030",
"fax_number": "909-890-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 BUSINESS CENTER DR",
"address_2": "SUITE 127",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083467",
"telephone_number": "909-890-9030",
"fax_number": "909-890-4393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "LENA",
"middle_name": "CONSTANTE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-11",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "22868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.