KELLY REYNOLDS (NPI# 1326298621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326298621 |
| Entity Type | Individual |
| Full Name | KELLY REYNOLDS |
| Other Name | KELLY BRADEN |
| Credential | DPT |
| Practice Address |
1201 Broad Rock Blvd Richmond VA 23249-0001 |
| Practice Telephone | 8046755000 |
| Mailing Telephone | 8046755000 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
2305205579 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811459399 | Kelly Christine Reynolds | Student in an Organized Health Care Education/Training Program | 11750 Rosemount Drive, Fort Myers, FL 33913 | 2019-04-03 |
| 1750752572 | Kelly Elizabeth Reynolds | Counselor | 5830 Sw 89th Pl, Ocala, FL 34476-7701 | 2015-10-20 |
| 1205265766 | Kelly Reynolds | Hearing Instrument Specialist | 603 Freeport Rd Ste D, Sterling, IL 61081-3022 | 2013-11-05 |
| 1811157183 | Kelly A Reynolds | Dentist | 515 North Broadway, Suite 4, Red Lodge, MT 59068-9255 | 2008-06-11 |
| 1689880023 | Kelly W Reynolds | Speech-Language Pathologist | 12 Aviemore Drive, Pinehurst, NC 28374 | 2007-05-15 |
| 1790905453 | Kelly Reynolds | Occupational Therapist | 310 E Morganton Rd, Southern Pines, NC 28387-6524 | 2007-04-26 |
| 1477117224 | Kelly Anne Reynolds | Student in an Organized Health Care Education/Training Program | 2115 Leiter Rd, Miamisburg, OH 45342-3600 | 2019-04-26 |
| 1780034546 | Kelly Reynolds | Behavioral Analyst | 9440 Marlboro Pike, Suite 100, Upper Marlboro, MD 20772 | 2016-06-13 |
| 1881043701 | Kelly Reynolds | Occupational Therapist | 1 Emma Ln, Clifton Park, NY 12065-3763 | 2016-06-10 |
| 1548606726 | Kelly Sue Reynolds | Registered Nurse | 301 S Crapo St, Suite 200, Mount Pleasant, MI 48858-2941 | 2013-05-15 |
| Street Address |
1201 BROAD ROCK BLVD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23249-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684480 | Earl M. Rogers I | Pharmacist | 1201 Broad Rock Blvd, Vamc Pharmacy Svc (119), Richmond, VA 23249-0001 | 2005-07-26 |
| 1750981791 | Irene Julia Montero | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-29 |
| 1194325068 | Rodrick Dewayne Shinholster | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-29 |
| 1902406887 | Akia Johnson | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-29 |
| 1982204285 | Shaquana Shanesea Jones | Kinesiotherapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-27 |
| 1396345773 | Freda Sergi | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-27 |
| 1548860091 | Curtis Antoine Robb | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-26 |
| 1891394326 | Paulette Suzanne Beasley | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-26 |
| 1104425636 | Jennifer Lee Vass | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-26 |
| 1760099204 | Caitlyn Andree Pittman | Kinesiotherapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184010407 | Chris Dinh Nguyen | Internal Medicine | 1201 Broad Rock Blvd Richmond, Richmond, VA 23249 | 2015-04-14 |
| 1982049425 | Amy Nicole Whiffin | Emergency Medicine | 1201 Broad Rock Blvd. Emergency Department, Richmond, VA 23249 | 2013-05-09 |
| 1770786311 | Katherine Martin | Dentist | Mcguire Vamc Dental Service 1201 Broad Rock Blvd, Richmond, VA 23249 | 2007-06-11 |
| 1407922214 | Thomas Fagan | Pharmacist | 1201 Broadwalk Blvd, Richmond, VA 23249 | 2006-11-27 |
| 1922197474 | Rufus Anthony Harris | Social Worker | 1201 Broadrock Boulevard, Room 1e 114, Richmond, VA 23249 | 2006-10-12 |
| 1497848386 | Patricia S Kelly | Religious Nonmedical Nursing Personnel | 1201 Brock Roack Blvd., Richmond, VA 23249 | 2006-10-02 |
| 1073619938 | Deborah Walck Haynes | Physician Assistant | Mcguire Va Medical Center, 1201 Broad Rock Blvd. (151), Richmond, AL 23249 | 2006-09-16 |
| 1932204682 | James Kenneth Schmitt | Internal Medicine | 1201 Broadrock Rd, Richmond, VA 23249 | 2006-09-14 |
| 1679675045 | Ida Foster | Family Medicine | 1801 Broad Rock Boulevard, Richmond, VA 23249 | 2006-09-05 |
| 1871607176 | James Luther Tatum | Nuclear Medicine | 1201 Broadrock Road, Richmond, VA 23249 | 2006-08-17 |
| Find all providers in zip 23249 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619380706 | Defne Zeynep Peterson | Physical Therapist | 901 Nevin Ave, Richmond, CA 94801-3143 | 2014-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552746 | Elizabeth Goodwin-horn | Physical Therapist | 8257 Atlee Rd, Mechanicsville, VA 23116-1844 | 2019-08-08 |
| 1902317928 | Morgan Eppes | Physical Therapist | 206 Twinridge Ln, North Chesterfield, VA 23235-5200 | 2017-10-17 |
| 1194258103 | Preeti Verma | Physical Therapist | 11908 Blairmont Pl, Glen Allen, VA 23059-5399 | 2017-04-06 |
| 1831622844 | Paige Carroll | Physical Therapist | 2137 Kelly Ridge Rd, Henrico, VA 23233-6908 | 2017-04-06 |
| 1659725554 | Willie Lim Ching | Physical Therapist | 43340 Claybrooke Cir, Ashburn, VA 20147-4579 | 2016-04-17 |
| 1497891758 | Gwendolyn Louise Carr | Physical Therapist | 412 Breezy Pt, Chesapeake, VA 23322-8372 | 2007-01-30 |
| 1831297936 | Valerie Washington Gibson | Physical Therapist | 8230 Old Courthouse Rd, Suite 350, Vienna, VA 22182-3853 | 2006-09-20 |
| 1134231103 | Susan Melton Schmieg | Physical Therapist | 3000 Heritage Farm Ct, Oak Hill, VA 20171-2232 | 2006-08-31 |
| 1134148059 | Alan Lombardo | Physical Therapist | 140 Eastshore Dr Ste 200, Glen Allen, VA 23059-5755 | 2006-07-19 |
| 1518590793 | Shea Dineen | Physical Therapist | 1015 W 47th St, Norfolk, VA 23529-0001 | 2020-02-17 |
| Find all providers with the same taxonomy | ||||
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| 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.