Active NPI
Reynolds Prosthetics & Orthotics Inc
- Prosthetic/Orthotic Supplier
- Maryville, TN
National Provider Identifier
1851499628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- REYNOLDS PROSTHETICS & ORTHOTICS INC
- Practice address
- 268 Cherokee Professional Park
Maryville, TN 37804 - Phone
- (865) 980-9600
- Fax
- (865) 980-9603
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John H Reynolds, CPO
- Title
- Owner President
- Phone
- (865) 980-9600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
268 Cherokee Professional Park
Maryville, TN 37804
Mailing address
268 Cherokee Professional Park
Maryville, TN 37804
Phone (865) 980-9600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4022662 | Other | TN | BLUE CROSS BLUE SHIELD TN |
| 1454185 | Medicaid | TN |
Other names 1
- RPO Inc
National Provider Directory
National Provider DirectoryLocations
266 Cherokee Professional Park
Maryville, TN 37804
Phone (865) 980-9600
268 Cherokee Professional Park
Maryville, TN 37804
Phone (865) 980-9600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187222400000",
"number": "1851499628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "268 CHEROKEE PROFESSIONAL PARK",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "37804",
"telephone_number": "865-980-9600",
"fax_number": "865-980-9603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 CHEROKEE PROFESSIONAL PARK",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "37804",
"telephone_number": "865-980-9600",
"fax_number": "865-980-9603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REYNOLDS PROSTHETICS & ORTHOTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2007-08-16",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "865-980-9600",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TN",
"identifier": "4022662",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1454185",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RPO Inc",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.