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

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