Active NPI
Norka Reynolds
- Occupational Therapist
- Fort Mill, SC
National Provider Identifier
1962032300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7429
- Practice address
- 1038 Shorthill LN
Fort Mill, SC 29715-0170 - Phone
- (803) 869-0077
- Fax
- (803) 228-0101
- NPI assigned
- Jan 24, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7429 | NC | Primary |
Addresses
Primary practice location
1038 Shorthill LN
Fort Mill, SC 29715-0170
Mailing address
11222 Black Brant LN
Charlotte, NC 28278-6967
Phone (954) 600-0022
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | norka.reynolds@mytherapyworld.com | Therapy World |
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 |
|---|---|---|---|
| 7429 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy World | Occupational Therapist | Past | 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 and National Provider Directory roles.
-
- Occupational Therapist
- Fort Mill, SC
- NPI 1770091670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1962032300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11222 BLACK BRANT LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282786967",
"telephone_number": "954-600-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1038 SHORTHILL LN",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297150170",
"telephone_number": "803-869-0077",
"fax_number": "803-228-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "NORKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-24",
"last_updated": "2023-11-27",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "7429",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "norka.reynolds@mytherapyworld.com",
"affiliation": "Y",
"endpointDescription": "work email address",
"affiliationName": "Therapy World",
"address_1": "1038 Shorthill Ln",
"city": "Fort Mill",
"state": "SC",
"country_code": "US",
"postal_code": "297150170",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.