Jesse Reagan, PT
NPI 1366172462 · Physical Therapist · Carrollton, GA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jesse Reagan, PT is a Physical Therapist provider in Carrollton, GA (NPI 1366172462).
Provider details
- NPI number
- 1366172462
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- PT015961 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 812 S Park StCarrollton, GA 30117-4412Phone: (770) 834-7436
Registry dates
- Enumerated
- 2022-06-13
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Frequently asked questions
- What is Jesse Reagan's NPI number?
- Jesse Reagan's National Provider Identifier (NPI) is 1366172462, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Reagan's specialty?
- Jesse Reagan is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jesse Reagan located?
- Jesse Reagan's practice location on file with NPPES is 1124 N Park St Ste M, Carrollton, GA 30117-2282.
- What is Jesse Reagan's phone number?
- The practice phone number listed in the NPPES registry for Jesse Reagan is (770) 834-0873.
- Does Jesse Reagan accept Medicare?
- Jesse Reagan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jesse Reagan's NPI active?
- Yes — Jesse Reagan's NPI (1366172462) is active in the NPPES registry as of the last update on 2025-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.