Organization Active NPI

Reynolds Prosthetics & Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Maryville, TN
National Provider Identifier
1851499628
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Aug 16, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4022662OtherTNBLUE CROSS BLUE SHIELD TN
1454185MedicaidTN

Other names 1

  • RPO Inc Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.