Individual provider Active NPI

Tracy Louise Ragle, PT

  • Physical Therapist
  • Weatherford, TX
National Provider Identifier
1982780540
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1030666 Issued in TX
Practice address
141 College Park Dr
Weatherford, TX 76086-6211
Phone
(817) 341-3600
Fax
(817) 599-8181
NPI assigned
Oct 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1030666 TX Primary

Addresses

Primary practice location

141 College Park Dr
Weatherford, TX 76086-6211

Mailing address

141 College Park Dr
Weatherford, TX 76086-6211
Phone (817) 341-3600

Other identifiers 1

IdentifierTypeStateIssuer
8T1496OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220218001283 TX Practitioner - Physical Therapist in Private Practice 3476947318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephenville Sports Rehab and Physical Therapy LLCGroup PAC ID 8123295706, 21 clinicians

Practice addresses (Care Compare)

141 College Park Dr
Weatherford, TX 76086-5653
Phone (817) 341-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stephenville Sports Rehab & Physical Therapy, LLC Physical Therapist CurrentSince Jan 17, 2022 Accepting new patients

Locations

2269 Senator Robert J Glasgow Loop
Stephenville, TX 76401
Phone (254) 965-2040

141 College Park Dr
Weatherford, TX 76086
Phone (817) 341-3600

5129 E Interstate 20 Service Rd N
Willow Park, TX 76087
Phone (817) 441-5500

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, 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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982780540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 COLLEGE PARK DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866211",
            "telephone_number": "817-341-3600",
            "fax_number": "817-599-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 COLLEGE PARK DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866211",
            "telephone_number": "817-341-3600",
            "fax_number": "817-599-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGLE",
        "first_name": "TRACY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1030666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8T1496",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.