Individual provider Active NPI

Reagan Lyn Sandford, PT, DPT

  • Physical Therapist
  • Myrtle Beach, SC
National Provider Identifier
1376307132
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13343 Issued in SC
Practice address
2200 Crow LN Ste 201
Myrtle Beach, SC 29577-1663
Phone
(843) 848-5220
Fax
(843) 848-5225
NPI assigned
Feb 12, 2024
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13343 SC Primary
Physical Therapist 225100000X 1388809 TX

Addresses

Primary practice location

2200 Crow LN Ste 201
Myrtle Beach, SC 29577-1663

Mailing address

2187 W South Loop Ste a
Stephenville, TX 76401-3921
Phone (254) 918-0724

Other practice location 1

2187 W South Loop Ste A
Stephenville, TX 76401-3921
Phone (254) 918-0724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240404002181 TX Practitioner - Physical Therapist in Private Practice 6608214036 Reassigns benefits to 2 organizations
I20260615002012 SC Practitioner - Physical Therapist in Private Practice 6608214036

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephenville Orthopedic and Athletic Rehab LLCGroup PAC ID 5698168573, 2 clinicians
Hometown Physical Therapy LLCGroup PAC ID 9638606510, 9 clinicians

Practice addresses (Care Compare)

2109 W Washington St
Stephenville, TX 76401-3927
Phone (254) 918-0724

2269 Sen Robert J Glasgow Loop
Stephenville, TX 76401-1701
Phone (254) 965-2040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stephenville Orthopedic and Athletic Rehab LLC Physical Therapist CurrentSince Aug 4, 2025 Accepting new patients
Hometown Physical Therapy, LLC Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients
Hometown Physical Therapy, LLC Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients

Locations

712 N Second St
Ste A
Hico, TX 76457
Phone (254) 796-2150

2109 W Washington St
Stephenville, TX 76401
Phone (254) 918-0724

2187 W South Loop
#A
Stephenville, TX 76401
Phone (254) 918-0724

2269 Senator Robert J Glasgow Loop
Stephenville, TX 76401
Phone (254) 965-2040

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1376307132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2187 W SOUTH LOOP STE A",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013921",
            "telephone_number": "254-918-0724",
            "fax_number": "254-918-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CROW LN STE 201",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771663",
            "telephone_number": "843-848-5220",
            "fax_number": "843-848-5225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2187 W South Loop Ste A",
            "address_purpose": "LOCATION",
            "city": "Stephenville",
            "state": "TX",
            "postal_code": "764013921",
            "country_code": "US",
            "telephone_number": "254-918-0724",
            "fax_number": "254-918-0883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDFORD",
        "first_name": "REAGAN",
        "middle_name": "LYN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "13343",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1388809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.