Emma Reynolds, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070024568 Issued in IL

Practice address

100 W Plainfield Rd Ste 100
Countryside, IL 60525-2654

Phone

(708) 588-0833

NPI assigned

Aug 20, 2019

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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Center for Independence Through Conductive Education IncGroup PAC ID 8628506391, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Center for Independence Through Conductive Education Inc

  dba Center for Independence

  • Occupational Therapist
  • Countryside, IL
  • NPI 1114083672

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1801443213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W PLAINFIELD RD STE 100",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605252654",
            "telephone_number": "708-588-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W PLAINFIELD RD STE 100",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605252654",
            "telephone_number": "708-588-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "EMMA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070024568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Prendergast, BSN
• Megan Pudela, MSW
• Palisha Ranjit
• Shannon Rae Rapp
• Russell Thomas Ras, DDS
• Erin Richardson, APRN
• Joy Ann Riggi, OTR L
• Jocelyn Rivera
• Jose Rivera
• Syed Muaz Rizvi, MD

• Physical Therapist in Countryside, IL
• Providers in Countryside, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.