Ashley Nicole Reynolds, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-046872 Issued in AZ

Practice address

2150 S Country Club Dr Ste 20
Mesa, AZ 85210-6879

Phone

(480) 398-4280

Fax

(480) 398-4281

NPI assigned

Feb 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Piller Child Development

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1396297099
  NPD (past)
• Piller Child Development LLC

  • Pediatric Occupational Therapist
  • Phoenix, AZ
  • NPI 1497087621
  NPD (past)

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1992399828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50218",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850760218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S COUNTRY CLUB DR STE 20",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106879",
            "telephone_number": "480-398-4280",
            "fax_number": "480-398-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "OTA-046872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST ASSISTANT",
            "identifier": "67",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.reynolds@pillerchilddevelopment.com",
            "affiliation": "N",
            "address_1": "2150 S Country Club Dr Ste 20",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852106879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Risela Reyes, RBT
• Sandra Garza Reyes, D.D.S.
• Selina Reyes
• Yadira Reyna
• Gloria Araceli Reynaga, OTD, OTR/L
• Justin Alan Reynolds, ACNP
• Maegan Kristine Reynolds
• Rebecca N Reynolds, PT, DPT
• Samantha Jenae Reynolds, FNP-C
• Roxanne M. Reynoso, LPC

• Occupational Therapy Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.