Active NPI
Reagan Physical Therapy and Wellness
- Physical Therapist
- El Dorado Hills, CA
National Provider Identifier
1447801436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryNPI 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.