Ethan Reynolds, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT018469 Issued in OH

Practice address

1201 S High St
Columbus, OH 43206-3400

Phone

(614) 444-5661

Fax

(614) 444-5661

NPI assigned

Sep 9, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246

  OH

  Medicare reassignment NPD
• Alix Chiropractic and Rehab Center

  • Chiropractor
  • Dublin, OH
  • NPI 1891987624
  Medicare reassignment
• Novacare Rehabilitation of Ohio Inc

  • Physical Therapy Clinic/Center
  • Beechwood, OH
  • NPI 1740447895
  NPD (past)
• Tender Touch at Home NJ LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1184265944
  NPD (past)

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1992310601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432063400",
            "telephone_number": "614-444-5661",
            "fax_number": "614-444-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432063400",
            "telephone_number": "614-444-5661",
            "fax_number": "614-444-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ETHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "PT018469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Nicole Reynolds
• Brock Reynolds, PHARMD
• Cara L Reynolds, LISW - SUPV
• Corey Reynolds
• Dontae Reynolds
• Gabrielle Reynolds, LISW
• Harold Thomas Reynolds, MD
• Jerold Everett Reynolds, PHD,RCP,RRT
• Jessica Ann Reynolds
• John L Reynolds Jr., MD

• Physical Medicine & Rehabilitation Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.