Active NPI
Elizabeth Denise Reynolds, DPT
- Physical Therapist
- Spencer, NC
National Provider Identifier
1902305014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P17722
- Practice address
- 1404 S Salisbury Ave
Spencer, NC 28159-1921 - Phone
- (704) 633-3892
- NPI assigned
- Feb 4, 2018
- Last updated
- Feb 4, 2018
- 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 | P17722 | NC | Primary |
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
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P17722 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517702400000",
"number": "1902305014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 GOBLE RD",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286259617",
"telephone_number": "704-657-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 S SALISBURY AVE",
"city": "SPENCER",
"state": "NC",
"postal_code": "281591921",
"telephone_number": "704-633-3892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "ELIZABETH",
"middle_name": "DENISE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-04",
"last_updated": "2018-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P17722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spencer, NC
- Angie D Padon, LPTA
- Elizabeth Queen, OT/R
- Donald Floyd Rankin, RPH
- Residence Care Service LLC (Bethamy Retirement Center)
- Residence Care Services LLC (Bethamy Retreat)
- Rowan Diagnostic Clinic (Spencer Family Medicine)
- Samuel Dastrup DDS PLLC
- Holly Anne Smith, M.S., R.D., L.D.
- Sonshine Community Outreach Services
- Diane Spicer, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.