MITCHELL REYNOLDS – Occupational Therapist, NPI 1053765180

MITCHELL REYNOLDS is a healthcare provider. based in Conway, Arkansas. specializing in Occupational Therapist. They hold a License No. OTR2742 (AR). The NPI Number for MITCHELL REYNOLDS is 1053765180

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MITCHELL REYNOLDS
NPI
1053765180
Phone
(501) 327-2495
Address
550 CLUB LN
Enumeration Date
14 April 2016
Last Update Date
14 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5013291510
Graduation Year
2012 (14 years ago)
PAC ID
6204125651
Group Practice PAC ID
3173428414
Professional Enrollment ID
I20160525001046
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

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Provider Addresses for MITCHELL REYNOLDS

  • 550, Club Lane, Conway, Faulkner County, Arkansas, 72034, United States

    CONWAY, AR 720343681

    Phone: (501) 327-2495

    Fax: (205) 683-2468

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72034)

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Provider's Procedures

MITCHELL REYNOLDS performs procedures in Occupational Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYAR97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes5716

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173428414View full group profile
NameSpecialtyState
Nurse PractitionerAR
General SurgeryAR
Nurse PractitionerAR
Orthopedic SurgeryAR
Hand Surgery, Orthopedic SurgeryAR
Family PracticeAR
Family PracticeAR
Nurse PractitionerAR
Orthopedic SurgeryAR
General SurgeryAR

Reviews

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Frequently asked questions

Can I cross-check MITCHELL REYNOLDS using NPI 1053765180?
NPI 1053765180 belongs to MITCHELL REYNOLDS; compare other details if you need extra assurance.
Is MITCHELL REYNOLDS still an active registrant?
MITCHELL REYNOLDS carries an active NPI according to the public dataset.
How would a patient describe MITCHELL REYNOLDS's focus?
For MITCHELL REYNOLDS, the primary taxonomy reads as Occupational Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MITCHELL REYNOLDS?
Travel planning: use Conway, Arkansas as the reference point for MITCHELL REYNOLDS, then confirm.
When was this NPI issued?
Enumeration for MITCHELL REYNOLDS is noted as April 14, 2016 where the registry provides it.

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