Michelle Lynn Reynolds, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19331 Issued in FL

Practice address

916 N Dixie Fwy
New Smyrna Beach, FL 32168-6220

Phone

(386) 426-7885

Fax

(866) 239-9013

NPI assigned

Sep 27, 2006

Last updated

Sep 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Rehabilitation, LLCGroup PAC ID 6901884519, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University Rehabilitation, LLC

  dba Premier Physical Therapy and Sports Medicine

  • Physical Therapist
  • Port Orange, FL
  • NPI 1811185291
  Medicare reassignment Care Compare group NPD
• Blue Water Therapy Inc

  • Clinic/Center
  • New Smyrna Beach, FL
  • NPI 1538409966

  Physical Therapist

  Medicare reassignment NPD
• Greg J. Mercurio, MD, PA

  dba Causeway Medical

  • Internal Medicine Physician
  • New Smyrna Beach, FL
  • NPI 1053508283
  NPD (past)
• Volusia Therapy LLC

  • Physical Therapist
  • New Smyrna Beach, FL
  • NPI 1013187715
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1922199926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 LIME TREE DR",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321323306",
            "telephone_number": "386-426-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 N DIXIE FWY",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321686220",
            "telephone_number": "386-426-7885",
            "fax_number": "866-239-9013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3704 Cardinal Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach Shores",
            "state": "FL",
            "postal_code": "321187301",
            "country_code": "US",
            "telephone_number": "386-426-7885",
            "fax_number": "866-239-9013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Eaton Rd",
            "address_purpose": "LOCATION",
            "city": "Edgewater",
            "state": "FL",
            "postal_code": "321323524",
            "country_code": "US",
            "telephone_number": "386-426-7885",
            "fax_number": "866-239-9013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891323400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles D Register, OD
• Renaissance Home Therapy Inc
• William Rengifo Cam, MD
• Ginger Arlene Rennie, PSY.D.
• Rescue Care Chiropractic LLC
• Peter Riga, D.O.
• Angela Kay Ritten, DNP, APRN, FNP-BC
• Robert Larry Ritter, R.PH.
• Riverside Care Center, Inc (Tiffany On The River)
• Cayleen Rizo, OTR/L

• Physical Therapist in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.