Individual provider Active NPI

Reese Taschenberger

  • Physical Therapist
  • Ocoee, FL
National Provider Identifier
1972363497
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41296 Issued in FL
Practice address
11095 W Colonial Dr
Ocoee, FL 34761-2976
Phone
(407) 347-8936
Fax
(352) 404-6909
NPI assigned
Mar 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 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 41296 FL Primary

Addresses

Primary practice location

11095 W Colonial Dr
Ocoee, FL 34761-2976

Mailing address

11095 W Colonial Dr
Ocoee, FL 34761-2976
Phone (407) 347-8936

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403002281 FL Practitioner - Physical Therapist in Private Practice 6507204039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wil-Power Therapy Associates, LLCGroup PAC ID 7618304650, 4 clinicians

Practice addresses (Care Compare)

7911 W Dunnellon Rd
Dunnellon, FL 34433-2026
Phone (352) 322-6093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41296FLMDPhysical Therapist

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
Wil-Power Therapy Associates, LLC Physical Therapist CurrentSince Apr 21, 2025 Accepting new patients

Locations

6843 N Citrus Ave
Unit T
Crystal River, FL 34428
Phone (352) 322-6093

7911 W Dunnellon Rd
Dunnellon, FL 34433
Phone (352) 322-6093

2780 N Florida Ave
Unit 78
Hernando, FL 34442
Phone (352) 322-6093

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1972363497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11095 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612976",
            "telephone_number": "407-347-8936",
            "fax_number": "352-404-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11095 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612976",
            "telephone_number": "407-347-8936",
            "fax_number": "352-404-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASCHENBERGER",
        "first_name": "REESE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "41296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.