Provider Demographics
NPI:1730260746
Name:REYNOLDS & ASSOCIATES PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:REYNOLDS & ASSOCIATES PHYSICAL THERAPY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KENNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-933-1110
Mailing Address - Street 1:11312 US 15-501 NORTH
Mailing Address - Street 2:SUITE 403
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517
Mailing Address - Country:US
Mailing Address - Phone:919-933-1110
Mailing Address - Fax:919-933-1150
Practice Address - Street 1:11312 US 15-501 NORTH
Practice Address - Street 2:SUITE 403
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517
Practice Address - Country:US
Practice Address - Phone:919-933-1110
Practice Address - Fax:919-933-1150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC728230OtherUHC OF NORTH CAROLINA
NC017P0OtherBCBSNC
NC7918789OtherAETNA PROVIDER #
NC728230OtherUHC OF NORTH CAROLINA
NC2500382BMedicare PIN
NC2504004BMedicare PIN
NC017P0OtherBCBSNC