Elizabeth Denise Reynolds, DPT
Individual provider Active NPI Physical Therapist · Spencer, NC
NPI 1902305014 · NPPES record last updated Feb 4, 2018
Key facts
- NPI
- 1902305014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- P17722 (NC)
- Practice address
- 1404 S Salisbury Ave
Spencer, NC 28159-1921 - Phone
- (704) 633-3892
- NPI assigned
- Feb 4, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P17722 | NC | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P17722 | NC | Yes |
Addresses
Primary practice location
1404 S Salisbury Ave
Spencer, NC 28159-1921
Mailing address
364 Goble Rd
Statesville, NC 28625-9617
Phone (704) 657-8686
Other providers in Spencer, NC
- Angie D Padon
- Elizabeth Queen
- Donald Floyd Rankin
- Residence Care Service LLC
- Residence Care Services LLC
- Rowan Diagnostic Clinic
- Samuel Dastrup DDS PLLC
- Holly Anne Smith
- Sonshine Community Outreach Services
- Diane Spicer
All providers in Spencer, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.