Individual provider Active NPI

Raegan Tansel, PT, DPT

  • Physical Therapist
  • Toledo, OH
National Provider Identifier
1548086630
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT021463 Issued in OH
Practice address
3840 Woodley Rd Ste D
Toledo, OH 43606-1178
Phone
(419) 603-4476
NPI assigned
Nov 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT021463 OH Primary

Addresses

Primary practice location

3840 Woodley Rd Ste D
Toledo, OH 43606-1178

Mailing address

5032 Onway Dr
Ottawa Lake, MI 49267-8606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250206001689 OH Practitioner - Physical Therapist in Private Practice 7719417765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT021463OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
River Rock Rehabilitation, LLC Physical Therapist CurrentSince Mar 1, 2025 Accepting new patients

Locations

3900 Medina Rd
Unit N
Akron, OH 44333
Phone (330) 625-5549

510 W Main St
#B
Canfield, OH 44406
Phone (330) 301-4762

23811 Chagrin Blvd
Ste 120
Cleveland, OH 44122
Phone (216) 273-1656

630 Lexington Ave
Mansfield, OH 44907
Phone (419) 756-0616

990 S Prospect St
Ste 4
Marion, OH 43302
Phone (740) 387-2900

211 Stocksdale Dr
Ste C
Marysville, OH 43040
Phone (740) 383-3490

3840 Woodley Rd
Ste D
Toledo, OH 43606
Phone (419) 309-1240

4329 Mahoning Ave NW
Warren, OH 44483
Phone (330) 702-0110

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1732320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1548086630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5032 ONWAY DR",
            "city": "OTTAWA LAKE",
            "state": "MI",
            "postal_code": "492678606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 WOODLEY RD STE D",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061178",
            "telephone_number": "419-603-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANSEL",
        "first_name": "RAEGAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-23",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT021463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.