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
- Last updated
- Oct 27, 2023
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- El Dorado Hills, CA
- NPI 1790290476
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.