Individual provider Active NPI

John Richard Reinwald, PT, DPT

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1952671976
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11257 Issued in CO
Practice address
1939 Wilmington Dr
Fort Collins, CO 80528-6404
Phone
(970) 377-1422
Fax
(970) 377-1839
NPI assigned
Jan 6, 2012
Last updated
Sep 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11257 CO Primary
Geriatric Physical Therapist 2251G0304X 11257 CO
Neurology Physical Therapist 2251N0400X 11257 CO
Sports Physical Therapist 2251S0007X 11257 CO
Orthopedic Physical Therapist 2251X0800X 11257 CO

Addresses

Primary practice location

1939 Wilmington Dr
Fort Collins, CO 80528-6404

Mailing address

1939 Wilmington Dr
Suite 101
Fort Collins, CO 80528-6404
Phone (970) 377-1422

Other identifiers 1

IdentifierTypeStateIssuer
11257OtherCOPHYSICAL THERAPY LICENSE

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

State licenses

LicenseStateTypeSpecialty
11257COMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Physical Therapy PC PastSince Jun 1, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1952671976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 WILMINGTON DR",
            "address_2": "SUITE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286404",
            "telephone_number": "970-377-1422",
            "fax_number": "970-377-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 WILMINGTON DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286404",
            "telephone_number": "970-377-1422",
            "fax_number": "970-377-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINWALD",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-06",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11257",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CO",
            "license": "11257",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CO",
            "license": "11257",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CO",
            "license": "11257",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "11257",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "11257",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.