Individual provider Active NPI

Sidney Jo Reagor, DPT

  • Physical Therapist
  • Fort Thomas, KY
National Provider Identifier
1548150766
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009314 Issued in KY
Practice address
604 S Fort Thomas Ave
Fort Thomas, KY 41075-2208
Phone
(859) 814-5148
Fax
(859) 814-5149
NPI assigned
Jul 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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 009314 KY Primary

Addresses

Primary practice location

604 S Fort Thomas Ave
Fort Thomas, KY 41075-2208

Mailing address

PO Box 3276
Evansville, IN 47731-3276
Phone (812) 491-1390

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819003220 KY Practitioner - Physical Therapist in Private Practice 3173022878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation and Performance Institute PSCGroup PAC ID 8729379888, 36 clinicians

Practice addresses (Care Compare)

604 S Fort Thomas Ave
Fort Thomas, KY 41075-2208
Phone (270) 926-8145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009314KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation and Performance Institute PSC Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients

Locations

604 S Fort Thomas Ave
Fort Thomas, KY 41075
Phone (270) 926-8145

418 W 3rd St
Owensboro, KY 42301
Phone (270) 926-8145

412 E 2nd St
Owensboro, KY 42303
Phone (270) 926-8145

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": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1548150766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-491-1390",
            "fax_number": "812-492-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S FORT THOMAS AVE",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410752208",
            "telephone_number": "859-814-5148",
            "fax_number": "859-814-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAGOR",
        "first_name": "SIDNEY",
        "middle_name": "JO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "009314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Thomas, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.