Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Scott Reynolds, ATC

Individual provider Sports Medicine (Preventive Medicine) Physician · NPI 1922614999

Mr. Scott Reynolds, ATC is a Sports Medicine (Preventive Medicine) Physician in Coram, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

21 Kathleen Cres
Coram, NY 11727-1469
Phone: (631) 766-0534
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083S0010X · Licence 002491 (NY)

Record details

NPI number1922614999
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedSeptember 16, 2020
Last updated in NPPESSeptember 16, 2020
Certification dateSeptember 16, 2020