Active NPI
Walter Anthony Regana
- Physical Therapist
- Rayville, LA
National Provider Identifier
1780021220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 07510F
- Practice address
- 114 Whatley St
Rayville, LA 71269-3318 - Phone
- (337) 310-8500
- Fax
- (888) 241-3028
- NPI assigned
- May 23, 2013
- Last updated
- May 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 07510F | LA | Primary |
Addresses
Primary practice location
114 Whatley St
Rayville, LA 71269-3318
Mailing address
127 W Broad St
Lake Charles, LA 70601-4393
Phone (337) 310-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07510F | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369267200000",
"number": "1780021220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 W BROAD ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706014393",
"telephone_number": "337-310-8500",
"fax_number": "888-241-3028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 WHATLEY ST",
"city": "RAYVILLE",
"state": "LA",
"postal_code": "712693318",
"telephone_number": "337-310-8500",
"fax_number": "888-241-3028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGANA",
"first_name": "WALTER",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-23",
"last_updated": "2013-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "07510F",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rayville, LA
- Rawls ABA Therapy LLC
- Rayville Family Clinic
- Rayville Family Clinic LLC
- Rayville Family Pharmacy LLC
- Rayville Nursing & Rehabilitation Center, Inc.
- Holly Reichardt, NP
- Richardson Dialysis, LLC (Richardson Dialysis)
- Richardson Medical Center Homecare
- Richardson Medical Center School Based Health Clinic
- Glenn L. Richardson, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.