Individual provider Active NPI

Norka Reynolds

  • Occupational Therapist
  • Fort Mill, SC
National Provider Identifier
1962032300
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7429 Issued in NC
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

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
7429NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy World Occupational Therapist PastSince Jan 26, 2020 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.

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.

Verify at the official NPI Registry.