MARK RICHARD REYNOLDS (PT, DPT) – Physical Therapist, NPI 1013388073

MARK RICHARD REYNOLDS (PT, DPT) is a healthcare provider. based in Plainville, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 010587 (CT). The NPI Number for MARK RICHARD REYNOLDS (PT, DPT) is 1013388073

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MARK RICHARD REYNOLDS (PT, DPT)
NPI
1013388073
Phone
(860) 348-9338
Address
201 N MOUNTAIN RD
Enumeration Date
15 October 2015
Last Update Date
1 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8605222717
Graduation Year
2015 (11 years ago)
PAC ID
0244675759
Group Practice PAC ID
5092813873
Professional Enrollment ID
I20240223002563
Address ID
CT061052325HA36XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

Provider Addresses for MARK RICHARD REYNOLDS (PT, DPT)

  • 201 N MOUNTAIN RD

    SUITE 301

    PLAINVILLE, CT 060621848

    Phone: (860) 348-9338

    Fax: (860) 348-9466

    Type: Mailing

  • 36 WOODLAND ST

    HARTFORD, CT 061052325

    Phone: (860) 522-2717

    Fax: (860) 240-7605

    Type: Mailing

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: 2024-02-23

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
I20240223002563IPhysical Therapist In Private PracticeCTTBD

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.

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

Insurance plans in this area (ZIP 06062)

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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: 5092813873View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
-CT

Reviews

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Frequently asked questions

How do payers reference MARK RICHARD REYNOLDS (PT, DPT)?
For MARK RICHARD REYNOLDS (PT, DPT), use NPI 1013388073 as the unique 10-digit identifier.
Is MARK RICHARD REYNOLDS (PT, DPT) shown as active in public data?
Registry records indicate MARK RICHARD REYNOLDS (PT, DPT) maintains an active NPI.
What expertise is attributed to MARK RICHARD REYNOLDS (PT, DPT)?
MARK RICHARD REYNOLDS (PT, DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with MARK RICHARD REYNOLDS (PT, DPT)?
Directory geography for MARK RICHARD REYNOLDS (PT, DPT) centers on Plainville, Connecticut.
Can I trust this NPI listing for MARK RICHARD REYNOLDS (PT, DPT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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