KEVIN REYNOLDS – Physical Therapist, NPI 1235580309

KEVIN REYNOLDS is a healthcare provider. based in Cape coral, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 31462 (FL). The NPI Number for KEVIN REYNOLDS is 1235580309

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN REYNOLDS
NPI
1235580309
Phone
(239) 542-0900
Address
1715 CAPE CORAL PKWY W
Enumeration Date
29 June 2016
Last Update Date
29 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
87746937782004
Graduation Year
2016 (10 years ago)
PAC ID
8325301088
Group Practice PAC ID
9739125964
Professional Enrollment ID
I20180410001891
Address ID
FL342852626VE400XXSXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for KEVIN REYNOLDS

  • Lobster Lady Seafood Market, 1715, Cape Coral Parkway West, Cape Coral, Lee County, Florida, 33914, United States

    CAPE CORAL, FL 339147029

    Phone: (239) 542-0900

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-04-10

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
I20180410001891IPhysical Therapist In Private PracticeFLTBD

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 minutes1,647116$0
97530Therapy procedure using functional activities1,520114$0
97140Therapy procedure using manual technique, each 15 minutes1,119108$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes66766$0
97161Evaluation for physical therapy, typically 20 minutes7065$0
View full utilization report →

Insurance plans in this area (ZIP 33914)

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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: 9739125964View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeKY

Reviews

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Frequently asked questions

Does KEVIN REYNOLDS have a public NPI I can cite?
Public records show KEVIN REYNOLDS under NPI 1235580309.
Is KEVIN REYNOLDS's NPI status active today?
Active status means KEVIN REYNOLDS's NPI record is not deactivated in the public file.
How should patients interpret KEVIN REYNOLDS's specialty?
The extract shows Physical Therapist for KEVIN REYNOLDS. Clinical services aligned with this taxonomy classification.
Is KEVIN REYNOLDS tied to Cape Coral, Florida?
If you are local to Cape Coral, Florida, KEVIN REYNOLDS may be relevant to your search.
Why is information missing for KEVIN REYNOLDS?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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