Audrey Rose Reyes Legasto, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P15314 Issued in NC

Practice address

2501 Bragg Blvd Ste a
Fayetteville, NC 28303-4141

Phone

(910) 317-3388

Fax

(472) 215-8668

NPI assigned

May 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Audrey Rose Pagtalunan Reyes Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1639669500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 BRAGG BLVD STE A",
            "address_2": "PMB #2155",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034141",
            "telephone_number": "910-317-3388",
            "fax_number": "472-215-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 BRAGG BLVD STE A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034141",
            "telephone_number": "910-317-3388",
            "fax_number": "472-215-8668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Valleygate Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043763",
            "country_code": "US",
            "telephone_number": "910-483-8153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGASTO",
        "first_name": "AUDREY ROSE",
        "middle_name": "REYES",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P15314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY ROSE",
            "last_name": "REYES",
            "middle_name": "PAGTALUNAN",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Brian Leith
• Laurie Suzanne Leith, PHARM.D.

• Physical Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.