NICOLE REYNOLDS LLC
NPI 1285209429
Occupational Therapist - Neurorehabilitation in Lake Park, FL
About Nicole Reynolds Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE REYNOLDS LLC (NPI 1285209429) is a healthcare organization registered as a neurorehabilitation in Lake Park, Florida and active in the NPI registry since May 2021. The organization lists Nicole Reynolds, Occupational Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Reynolds Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Nicole Reynolds LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Nicole Reynolds LLC's NPI number?
The NPI number for Nicole Reynolds LLC is 1285209429. It was assigned to this organization in the NPPES registry on May 20, 2021.
Where is Nicole Reynolds LLC located?
Nicole Reynolds LLC is located at 1015 Lake Shore Dr Apt 102, Lake Park, FL 33403. The listed phone number is (716) 481-2248.
What is Nicole Reynolds LLC's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Neurorehabilitation, with taxonomy code 225XN1300X.
Is Nicole Reynolds LLC enrolled in Medicare?
Yes. Nicole Reynolds LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nicole Reynolds LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Occupational Therapist in Private Practice) reassigns their Medicare billing to Nicole Reynolds LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Reynolds LLC was last updated on May 20, 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.
# Nicole Reynolds Llc · NPI 1285209429
Neurorehabilitation organization in Lake Park, Florida. Organization record, active in the CMS NPPES registry since May 20, 2021.
## Identity
- **NPI:** 1285209429 (Entity type: Organization)
- **Enumerated:** May 20, 2021
- **Primary specialty:** Occupational Therapist - Neurorehabilitation · taxonomy 225XN1300X
- **Organization subpart:** No
- **Authorized official:** Nicole Reynolds, OCCUPATIONAL THERAPIST
## Practice location
- **Address:** 1015 LAKE SHORE DR APT 102, Lake Park, FL 33403-2800
- **Phone:** (716) 481-2248
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Occupational Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1285209429) · Data from the CMS NPPES public registry.