TYRONE REYNOLDS (DPT) – Physical Therapist, NPI 1205440070

TYRONE REYNOLDS (DPT) is a healthcare provider. based in Parker, Colorado. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 15235 (WI). The NPI Number for TYRONE REYNOLDS (DPT) is 1205440070

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
TYRONE REYNOLDS (DPT)
NPI
1205440070
Phone
Not provided
Address
16522 KEYSTONE BLVD
Enumeration Date
31 August 2020
Last Update Date
24 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6088486628
Graduation Year
2020 (6 years ago)
PAC ID
0143636316
Group Practice PAC ID
4981931466
Professional Enrollment ID
I20210312001622
Address ID
WI535931227VE416XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

2,988 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO

Provider Addresses for TYRONE REYNOLDS (DPT)

  • 16522 KEYSTONE BLVD

    PARKER, CO 801343303

    Phone:

    Type: Mailing

  • PO BOX 720908

    NORMAN, OK 730704708

    Phone: (405) 809-8713

    Type: Mailing

  • 416 E VERONA AVE

    VERONA, WI 535931227

    Phone: (608) 848-6628

    Type: Location

  • 2920 Hardrock Rd

    Fitchburg, WI 537195019

    Phone: (919) 213-0504

    Fax: (919) 981-9213

    Type: Location

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210312001622IPhysical Therapist In Private PracticeWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,097113$0
97530Therapy procedure using functional activities986111$0
97140Therapy procedure using manual technique, each 15 minutes978116$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes972119$0
97161Evaluation for physical therapy, typically 20 minutes6964$0
View full utilization report →

Insurance plans in this area (ZIP 80134)

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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: 4981931466View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeKY
-WI
Physical Therapist In Private PracticeWI
-WI
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeWI
-WI

Reviews

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Frequently asked questions

Can I cross-check TYRONE REYNOLDS (DPT) using NPI 1205440070?
NPI 1205440070 belongs to TYRONE REYNOLDS (DPT); compare other details if you need extra assurance.
Is TYRONE REYNOLDS (DPT) shown as active in public data?
Registry records indicate TYRONE REYNOLDS (DPT) maintains an active NPI.
What clinical focus is listed for TYRONE REYNOLDS (DPT)?
At a glance, TYRONE REYNOLDS (DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is TYRONE REYNOLDS (DPT) associated with Parker?
Public fields place TYRONE REYNOLDS (DPT) around Parker, Colorado. Always confirm the exact site before visiting.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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