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

Reagan E Fernley, PTA

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1881459543

Reagan E Fernley, PTA is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Homedale, Idaho. Licensed in Idaho. Registered with an NPI since 2024.

Licensed in
ID
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

134 E Idaho Ave
Homedale, ID 83628-5003
Phone: (208) 337-3254
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 8554 (ID)

Record details

NPI number1881459543
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 20, 2024
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024