Individual provider Active NPI

Keith Michael Reagan, P.T.

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1033176003
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
WA8422 Issued in WA
Practice address
1818 S Union Ave Ste 1B
Tacoma, WA 98405-1953
Phone
(253) 627-7012
Fax
(253) 627-7014
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X WA8422 WA Primary

Addresses

Primary practice location

1818 S Union Ave Ste 1B
Tacoma, WA 98405-1953

Mailing address

1818 S Union Ave Ste 1B
Tacoma, WA 98405-1953
Phone (253) 627-7012

Other practice location 1

5801 Soundview Dr Ste 50C
Gig Harbor, WA 98335-2219
Phone (253) 627-7012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060210000101 WA Practitioner - Physical Therapist in Private Practice 8527073600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1818 S Union Ave
Suite 1B
Tacoma, WA 98405-1953
Phone (253) 627-7012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
WA8422WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Rehabilitation, Inc. Physical Therapist CurrentSince Dec 14, 2015 Accepting new patients
Sheila K Settle PT PLLC Physical Therapist PastSince Dec 14, 2015 Accepting new patients

Locations

5775 Soundview Dr
Ste A101
Gig Harbor, WA 98335
Phone (253) 627-7012

5801 Soundview Dr
Ste 50C
Gig Harbor, WA 98335
Phone (253) 627-7012

1901 S Union Ave
Ste B7011
Tacoma, WA 98405
Phone (253) 627-5755

1818 S Union Ave
Ste 1B
Tacoma, WA 98405
Phone (253) 579-6339

1802 S Union Ave
Ste 100
Tacoma, WA 98405
Phone (253) 756-8668

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1033176003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 S UNION AVE STE 1B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051953",
            "telephone_number": "253-627-7012",
            "fax_number": "253-627-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S UNION AVE STE 1B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051953",
            "telephone_number": "253-627-7012",
            "fax_number": "253-627-7014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 Soundview Dr Ste 50C",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983352219",
            "country_code": "US",
            "telephone_number": "253-627-7012",
            "fax_number": "253-627-7014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REAGAN",
        "first_name": "KEITH",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "WA8422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.