MITCHELL REYNOLDS


Address: 550 Club Ln, Conway, AR 72034-3681
Phone: 5013272495

MITCHELL REYNOLDS (NPI# 1053765180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053765180
Entity Type Individual
Full Name MITCHELL REYNOLDS
Practice Address 550 Club Ln
Conway
AR 72034-3681
Practice Telephone 5013272495
Practice Fax Number 2056832468
Mailing Telephone 5013272495
Mailing Fax Number 2056832468
Enumeration Date 2016-04-14
Last Update Date 2016-04-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist OTR2742 AR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR LICENSE OTR2742 01

Other Providers MITCHELL REYNOLDS

NPI Name Taxonomy Address Enumeration
1043603764 Mitchell Reynolds Registered Nurse 4100 Park Forest Dr, Suite 210, Traverse City, MI 49684-7331 2015-03-05
1417361049 Mitchell J Reynolds Physical Therapist 9430 Park West Blvd, Suite 230, Knoxville, TN 37923-4200 2014-06-11
1487707741 Mitchell D Reynolds Registered Nurse 754 S Main St, St George, UT 84770-5504 2007-01-19

Office Location

Street Address 550 CLUB LN
City CONWAY
State AR
Zip Code 72034-3681

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780748491 Christopher Lee Throneberry Physical Therapist 550 Club Ln, Suite 2, Conway, AR 72034-3681 2006-12-20
1720620818 Emily L Mckinney Physician Assistant 550 Club Ln, Conway, AR 72034-3681 2019-10-10
1679052559 Aaron Baxter Clinical Nurse Specialist 550 Club Ln, Conway, AR 72034-3681 2018-08-10
1023532066 Mattison Marie Weaver Specialist/Technologist 550 Club Ln, Conway, AR 72034-3681 2017-08-01
1851829667 Alecia Elkins Occupational Therapist 550 Club Ln, Conway, AR 72034-3681 2017-05-24
1144766288 Daniel Green Physician Assistant 550 Club Ln, Conway, AR 72034-3681 2017-01-12
1386004653 Charles Sibley Physical Therapist 550 Club Ln, Conway, AR 72034-3681 2016-03-01
1831575588 Stewart Andrew Tackett Specialist/Technologist 550 Club Ln, Conway, AR 72034-3681 2015-08-05
1952797078 Augusta Jean Nelson Specialist/Technologist 550 Club Ln, Suite 2, Conway, AR 72034-3681 2015-04-15
1326456112 Brooke Meins Specialist/Technologist 550 Club Ln, Suite 2, Conway, AR 72034-3681 2014-07-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013563758 Shelby M Perez Case Manager/Care Coordinator 3240 Stermer Rd, Conway, AR 72034 2019-08-16
1467932772 Faith J Parfait Licensed Practical Nurse 1352 Watkins St, Conway, AR 72034 2018-08-16
1043790611 David Adam Steinfeld Nurse Practitioner 855 S German Ln Ste 1, Conway, AR 72034 2018-08-14
1245728484 Conway Behavioral Health, LLC Psychiatry & Neurology 2255 Sturgis Rd, Conway, AR 72034 2018-04-24
1972007292 Eldercare of Arkansas IIi, Inc. Assisted Living Facility 1306 S. Donaghey, Conway, AR 72034 2018-03-21
1528561404 Kouhei Kobayashi Specialist/Technologist 2201 Moix Blvd., Apt. 908, Conway, AR 72034 2018-03-16
1780191015 Sydnie Thessing Nurse Practitioner 605 Dave Ward Drive #105, Conway, AR 72034 2018-01-09
1508371865 Ebony Latreace Charleston Case Manager/Care Coordinator 3240 Stermer Road, Conway, AR 72034 2017-12-08
1689190647 Denise Annette Aikman Dentist 1210 Hogan Lane, Suite 200, Conway, AR 72034 2017-08-21
1134669138 Hortons Orthotic Lab, Inc. Prosthetic/Orthotic Supplier 635 Dave Ward, Suite 103, Conway, AR 72034 2017-02-24
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619584604 Danyelle Durocher Occupational Therapist 1301 North Museum Rd, Conway, AR 72032 2020-09-24
1699385856 Judy Lynn Lloyd Occupational Therapist 4801 Pee Dee Hwy, Conway, SC 29527-7357 2020-08-03
1780200782 Arkansas Physical Therapy Services of Conway, LLC Occupational Therapist 4550 Prince St, Conway, AR 72034-8077 2020-06-25
1932646890 Erica Kennemer Occupational Therapist 1008 E Oak St Ste 108, Conway, AR 72032-4772 2017-01-30
1609227438 Ellen Berger Rainville Occupational Therapist 236 S Shirkshire Rd, Conway, MA 01341-9703 2016-06-22
1164880803 Meredith Lauren Wallis Occupational Therapist 1320 Davis St, Conway, AR 72034-3919 2016-02-09
1417355538 Trisha Palmer Occupational Therapist 18 Fair Oaks Dr, Conway, AR 72034-2923 2014-12-06
1831517614 Desiree Bessette Occupational Therapist 310 Kiskadee Loop Unit B, Conway, SC 29526-9762 2014-03-31
1134479702 Jessie Lee Green Occupational Therapist 20 Fox Trot Dr, Conway, AR 72032-8505 2012-09-11
1184973281 Jenny Beth Lesley Occupational Therapist 1100 Champions Dr., Conway, AR 72034 2012-09-05
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Competitor

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City CONWAY
Zip Code 72034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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