Shelby Lynn Reagle, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

010537-1 Issued in NY

Practice address

774 Fairmount Ave
Jamestown, NY 14701-2609

Phone

(716) 665-1166

Fax

(866) 902-1160

NPI assigned

Aug 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1124574934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 FAIRMOUNT AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012609",
            "telephone_number": "716-665-1166",
            "fax_number": "866-902-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 FAIRMOUNT AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012609",
            "telephone_number": "716-665-1166",
            "fax_number": "866-902-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAGLE",
        "first_name": "SHELBY",
        "middle_name": "LYNN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "010537-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Rapp
• Bert W Rappole, MD
• Robbie Rasmussen
• Steven Raynor
• Katherine Reagle
• Courtney Nicole Reardon, RN
• Reda Elsayed Shedeed Physician PC
• Peter J Reden, MD
• Duncan Reed, PT, DPT
• Ellen Joanne Reed, PA

• Physical Therapy Assistant in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.