| Brandon Shane Reynolds, | |
|
12216 W Broad St Ste 4b-5, Richmond, VA 23233-1062 | |
| (804) 915-1910 | |
| Not Available |
| Full Name | Brandon Shane Reynolds |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 8 Years |
| Location | 12216 W Broad St Ste 4b-5, Richmond, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205314218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305212223 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthovirginia Inc | 0547157224 | 518 |
| Provider Name | Orthovirginia Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487671822 PECOS PAC ID: 0547157224 Enrollment ID: O20040228000320 |
| Provider Name | Tidewater Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029 |
| Provider Name | Performance Physical Therapy And Sports Training, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1215263546 PECOS PAC ID: 8022158161 Enrollment ID: O20091221000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Shane Reynolds, Po Box 715868, Philadelphia, PA 19171-5868 Ph: (804) 915-1910 | Brandon Shane Reynolds, 12216 W Broad St Ste 4b-5, Richmond, VA 23233-1062 Ph: (804) 915-1910 |
Aryn Carlson Ix, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901 Westwood Ave, Richmond, VA 23227 Phone: 804-278-8977 Fax: 804-278-8977 | |
Kathleen Wright, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3811 Fauquier Ave, Richmond, VA 23227 Phone: 804-261-5978 | |
Meagan Cohen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1700 Willow Lawn Dr Ste 230, Richmond, VA 23230 Phone: 804-340-1193 | |
Dr. Laurel Hackett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Broad Rock Blvd, Richmond, VA 23249 Phone: 804-675-5000 | |
Mr. Peter Vincent Catizone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8906 W Broad St, Suite F, Richmond, VA 23294 Phone: 804-965-9990 Fax: 804-965-0997 | |
Mrs. Shereeta Mclane, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4101 Nine Mile Rd, Richmond, VA 23223 Phone: 804-222-1694 | |
Stephen Douglas Vesely Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3536 Grove Ave, Richmond, VA 23221 Phone: 804-673-9355 Fax: 804-359-8344 |