NATHAN SAMUEL REYNOLDS PT, DPT
NPI 1114522828
Physical Therapist in Hattiesburg, MS

Active since December 01, 2020
103 MEDICAL PARK FL 1, HATTIESBURG, MS 39401(601) 268-5757(601) 579-5220 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2021, Dec 1, 2020 (2 updates tracked since 2020).

About Nathan Samuel Reynolds Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN SAMUEL REYNOLDS PT, DPT (NPI 1114522828) is an individual physical therapist in Hattiesburg, Mississippi, licensed in Mississippi (PT7014) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1114522828
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameNATHAN SAMUEL REYNOLDSCredential: PT, DPT
Location Address103 MEDICAL PARK FL 1Hattiesburg, MS 39401-9042
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 268-5757 · Fax (601) 579-5240
Fax(601) 579-5220
Sole ProprietorNo
Enumeration DateDecember 1, 2020
Last NPPES UpdateJanuary 27, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
✔ NPI 1114522828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MS · PT7014
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
103 MEDICAL PARK FL 1, Hattiesburg, MS 39401

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan Samuel Reynolds Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Nathan Reynolds reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
101 MEDICAL PARK
Hattiesburg, MS 39401
  • Reassigned Medicare billing, Mississippi enrollment
  • 696 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
880 services82 patients
Therapy procedure using water pool to exercises, each 15 minutes 97113
This therapy involves exercising in a water pool for 15-minute intervals. The buoyancy of the water supports your body, reducing stress on joints and muscles. It's beneficial for improving strength, flexibility, and balance. It's a gentle, low-impact form of exercise suitable for all ages.
97 services22 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
46 services39 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
103 MEDICAL PARK FL 1
HATTIESBURG, MS 39401
Physical Therapist
103 MEDICAL PARK FL 1
HATTIESBURG, MS 39401
Physical Therapist
103 MEDICAL PARK FL 1
HATTIESBURG, MS 39401
Physical Therapist
103 MEDICAL PARK FL 1
HATTIESBURG, MS 39401
Physical Therapist
103 MEDICAL PARK FL 1
HATTIESBURG, MS 39401
Physical Therapist
103 MEDICAL PARK FL 1
HATTIESBURG, MS 39401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Reynolds's NPI number?

The NPI number for Nathan Reynolds is 1114522828. It was assigned to this individual provider in the NPPES registry on December 1, 2020.

Where is Nathan Reynolds located?

Nathan Reynolds practices at 103 Medical Park Fl 1, Hattiesburg, MS 39401. The listed phone number is (601) 268-5757.

What is Nathan Reynolds's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Nathan Reynolds enrolled in Medicare?

Yes. Nathan Reynolds is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nathan Reynolds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Reynolds reassigns Medicare benefits to Hattiesburg Clinic PA (Hattiesburg, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Reynolds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nathan Reynolds was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.