Active NPI
Jasmine Reynolds, DPT
- Physical Therapist
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4045 Pecos St Ste 140
Denver, CO 80211-2560 - Phone
- (303) 477-5303
- Fax
- (303) 477-5302
- NPI assigned
- Jul 30, 2019
- 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 | Primary |
Addresses
Primary practice location
4045 Pecos St Ste 140
Denver, CO 80211-2560
Mailing address
3401 Quebec St Ste 5005
Denver, CO 80207-2341
Phone (303) 322-4900
Other practice location 1
363 N Main St Ste A
Wauconda, IL 60084-3036
Phone (847) 487-0290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Saint Louis University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1331 Lake Dr SE
Suite 105
Grand Rapids, MI 49506-1674
Phone (616) 248-9842
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Life Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1331 Lake Dr SE
Ste 105
Grand Rapids, MI 49506
Phone (616) 248-9842
2500 E Beltline Ave SE
Ste J
Grand Rapids, MI 49546
Phone (616) 248-9842
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.
-
- Physical Therapy Clinic/Center
- Grand Rapids, MI
- NPI 1598169682
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1962056796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 QUEBEC ST STE 5005",
"city": "DENVER",
"state": "CO",
"postal_code": "802072341",
"telephone_number": "303-322-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 PECOS ST STE 140",
"city": "DENVER",
"state": "CO",
"postal_code": "802112560",
"telephone_number": "303-477-5303",
"fax_number": "303-477-5302"
}
],
"practiceLocations": [
{
"address_1": "363 N Main St Ste A",
"address_purpose": "LOCATION",
"city": "Wauconda",
"state": "IL",
"postal_code": "600843036",
"country_code": "US",
"telephone_number": "847-487-0290",
"fax_number": "847-487-0292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "JASMINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-30",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.