Active NPI
Laura Jean Reynolds, M.S.,P.T.
- Physical Therapist
- Essex, CT
National Provider Identifier
1861528622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3779
- Practice address
- 180 Westbrook Rd
Unit 3
Essex, CT 06426-1517 - Phone
- (860) 767-7587
- Fax
- (860) 767-7587
- NPI assigned
- Feb 26, 2007
- 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 | 3779 | CT | Primary |
Addresses
Primary practice location
180 Westbrook Rd
Unit 3
Essex, CT 06426-1517
Mailing address
PO Box 919
Clinton, CT 06413-0919
Phone (860) 669-5438
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3779 | CT | MD | Physical Therapist |
| 003779 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Center of Madison | Physical Therapist | Past | Accepting new patients |
| Cross Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Services of Guilford LLC | Physical Therapist | Past | Accepting new patients |
| Integrative Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Physical Therapist
- Guilford, CT
- NPI 1376574392
-
- Physical Therapist
- Guilford, CT
- NPI 1265568281
-
- Physical Therapist
- Madison, CT
- NPI 1609970201
-
- Physical Therapist
- Branford, CT
- NPI 1235351289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1861528622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 919",
"city": "CLINTON",
"state": "CT",
"postal_code": "064130919",
"telephone_number": "860-669-5438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 WESTBROOK RD",
"address_2": "UNIT 3",
"city": "ESSEX",
"state": "CT",
"postal_code": "064261517",
"telephone_number": "860-767-7587",
"fax_number": "860-767-7587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "LAURA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "M.S.,P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "3779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Essex, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.