MR. SAMUEL KENNETH REYNOLDS JR.


Address: 4460 Nw 72nd Ter, Lauderhill, FL 33319-4083
Phone: 7862740222

MR. SAMUEL KENNETH REYNOLDS JR. (NPI# 1124535034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124535034
Entity Type Individual
Full Name MR. SAMUEL KENNETH REYNOLDS JR.
Practice Address 4460 Nw 72nd Ter
Lauderhill
FL 33319-4083
Practice Telephone 7862740222
Enumeration Date 2018-01-02
Last Update Date 2018-01-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 222Q00000X 05

Other Providers SAMUEL REYNOLDS

NPI Name Taxonomy Address Enumeration
1730353483 Samuel Reynolds Pathology Msc08 4640 Bmsb Rm 335, 1 University of Nm, Albuquerque, NM 87131-0001 2008-04-14
1891229175 Samuel Benjamin Reynolds Internal Medicine 401 E Chestnut St Unit 310, Louisville, KY 40202-5703 2017-04-13
1992162143 Samuel D Reynolds Behavioral Analyst 4778 Overton Rd, Birmingham, AL 35210-3803 2016-01-19

Office Location

Street Address 4460 NW 72ND TER
City LAUDERHILL
State FL
Zip Code 33319-4083

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1518430362 Trinity Urgent Care Corp Clinic/Center 5411 North State Road 7, Tamarac, FL 33319 2019-01-04
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1518454164 Prudent Pharmacy Pharmacy 5575 N State Road 7 Ste B, Lauderdale Lakes, FL 33319 2018-04-19
1831603034 Kristi Dawn Messer Social Worker 7491 West Oakland Park Blvd, Suite 308, Lauderhill, FL 33319 2017-11-27
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023505153 Shamona Janene Clarke Developmental Therapist 4210 Inverrary Blvd Apt 82a, Lauderhill, FL 33319-4141 2018-04-14
1629504139 Jo-ann Elizabeth Lobban Developmental Therapist 4511 Nw 74th Ave, Lauderhill, FL 33319-4046 2017-05-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245830595 Community Children's Therapy, Inc Developmental Therapist 12353 Natalies Cove Rd, Cooper City, FL 33330 2020-10-27
1437756327 Tabrisha Ruy Developmental Therapist 10204 Douglas Oaks Cir Apt 304, Tampa, FL 33610-8646 2020-10-05
1316554116 Carley Alexandra Scartz-nisbet Developmental Therapist 9437 Trumpet Vine Loop, Trinity, FL 34655-5366 2020-09-25
1992319909 Kelly Todd Developmental Therapist 1408 Ariel Ln, Fort Walton Beach, FL 32547-1191 2020-09-07
1104436963 Cassandra Hert Developmental Therapist 13738 Alesbury Ct, Jacksonville, FL 32224-2236 2020-08-06
1750991188 Kimberley Nunez Developmental Therapist 362 Nw Stratford Ln, Port Saint Lucie, FL 34983-3432 2020-07-31
1821607441 Nakeshia Woody Developmental Therapist 3209 E North Bay St, Tampa, FL 33610-6927 2020-07-29
1851900922 Nathalia Brown Developmental Therapist 7911 Blairwood Cir S, Lake Worth, FL 33467-1809 2020-07-24
1053929752 Jill Schnortz Developmental Therapist 484 Nw 232nd Ter, Newberry, FL 32669-2282 2020-07-20
1447868310 Carleen Korkin Developmental Therapist 5004 Elpine Way, Palm Beach Gardens, FL 33418-7846 2020-07-16
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Competitor

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City LAUDERHILL
Zip Code 33319

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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