Organization Active NPI

Reagan Physical Therapy and Wellness

  • Physical Therapist
  • El Dorado Hills, CA
National Provider Identifier
1447801436
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REAGAN PHYSICAL THERAPY AND WELLNESS
Practice address
1996 Ahoy CT
El Dorado Hills, CA 95762-3745
Phone
(904) 955-7814
NPI assigned
Sep 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Dr. Wayne A Reagan, PT
Title
Founder
Phone
(916) 890-6762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1996 Ahoy CT
El Dorado Hills, CA 95762-3745

Mailing address

1996 Ahoy CT
El Dorado Hills, CA 95762-3745

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1569110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1447801436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1996 AHOY CT",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957623745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1996 AHOY CT",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957623745",
            "telephone_number": "904-955-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAGAN PHYSICAL THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-22",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "916-890-6762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.