Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1124535034 Deactivated / Inactive NPI Male Practitioner

Samuel Kenneth Reynolds

Developmental Therapist • Lauderhill, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Samuel Reynolds has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 02, 2018
NPI Deactivation Date July 29, 2019
Total Practice Duration ~1 Years of Practice (2018 – 2019)

Professional Overview & Biography Verified Profile Summary

Samuel Reynolds was a registered Developmental Therapist practicing in Lauderhill, FL. Throughout an active medical career spanning 1 years, Samuel Reynolds provided care at the practice location at 4460 NW 72ND TER until profile deactivation on 2019-07-29.

Practice Location & Contact Primary Location

Practice Address

4460 Nw 72nd Ter

Lauderhill, FL 333194083

Telephone 7862740222

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Lauderhill, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Lauderhill, FL (4429 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Developmental Therapist Primary Specialty

NUCC Taxonomy Code: 222Q00000X

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated July 29, 2019

Record deactivated on July 29, 2019

NPI Profile Active January 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2018

Registered at 4460 NW 72ND TER, LAUDERHILL, FL 333194083 (Tel: 7862740222)

📍
Updated Business Mailing Address January 02, 2018

Registered at 4460 NW 72ND TER, LAUDERHILL, FL 333194083

👤
Provider Name / Credentials Updated January 02, 2018

Recorded as SAMUEL REYNOLDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2018

Developmental Therapist

🟢
Initial NPI Registration & Enumeration January 02, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Samuel Reynolds. Be the first to share your experience!

Sign in to leave a review for Samuel Reynolds

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1124535034
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2018
Last Update: January 02, 2018
Deactivation Date: July 29, 2019

Mailing Address

4460 Nw 72nd Ter

Lauderhill, FL 333194083

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.