Individual provider Active NPI

Ashley Christine Reagor, MSPT

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1871505198
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2006 Issued in NV
Practice address
2629 W Horizon Ridge Pkwy
100
Henderson, NV 89052-2804
Phone
(702) 545-0555
Fax
(702) 434-8985
NPI assigned
Aug 13, 2006
Last updated
Mar 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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 2006 NV Primary

Addresses

Primary practice location

2629 W Horizon Ridge Pkwy
100
Henderson, NV 89052-2804

Mailing address

2629 W Horizon Ridge Pkwy
100
Henderson, NV 89052-2804
Phone (702) 545-0555

Other names 1

  • Ms. Ashley Christine Tisdale Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060821000230 NV Practitioner - Physical Therapist in Private Practice 3476556010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Action Therapeutics LLCGroup PAC ID 9739342643, 2 clinicians

Practice addresses (Care Compare)

2629 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-2897
Phone (702) 595-3285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2006NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Action Therapeutics LLC Physical Therapist CurrentSince Mar 7, 2012 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Physiotherapy Associates Inc Physical Therapist Past Accepting new patients

Locations

2629 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 545-0555

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1871505198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 W HORIZON RIDGE PKWY",
            "address_2": "100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522804",
            "telephone_number": "702-545-0555",
            "fax_number": "702-434-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 W HORIZON RIDGE PKWY",
            "address_2": "100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522804",
            "telephone_number": "702-545-0555",
            "fax_number": "702-434-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAGOR",
        "first_name": "ASHLEY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "TISDALE",
            "middle_name": "CHRISTINE",
            "prefix": "MS.",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.