Active NPI
Julie Marie Reagan, DPT
- Pediatric Physical Therapist
- Phoenix, AZ
National Provider Identifier
1346695566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 12085
- Practice address
- 5314 N 7TH St
Phoenix, AZ 85014-2805 - Phone
- (602) 277-5006
- Fax
- (602) 277-5042
- NPI assigned
- Apr 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 12085 | AZ | Primary |
Addresses
Primary practice location
5314 N 7TH St
Phoenix, AZ 85014-2805
Mailing address
127A E Palm LN
Phoenix, AZ 85004-1569
Phone (512) 785-7839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12085 | AZ | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461542400000",
"number": "1346695566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127A E PALM LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041569",
"telephone_number": "512-785-7839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5314 N 7TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850142805",
"telephone_number": "602-277-5006",
"fax_number": "602-277-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REAGAN",
"first_name": "JULIE",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-25",
"last_updated": "2016-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AZ",
"license": "12085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.