Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Luke William Reardon

Individual provider Physical Therapist · NPI 1811565740

Luke William Reardon is a Physical Therapist in Private Practice in Walla Walla, Washington. Qualified in 2021, 5 years ago. Accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2021
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Practice location Address checks out

1220 W Poplar St Ste A
Walla Walla, WA 99362-2757
Phone: (509) 540-3286
Fax: (509) 285-0982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT61177063 (WA)

Record details

NPI number1811565740
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 16, 2021
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address56 N College Ave Unit 1, College Place, WA 99324-1048

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Walla Walla