Shraddha Wagh, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

40QA02014400 Issued in NJ

Practice address

4152 Quakerbridge Rd
Lawrenceville, NJ 08648-4703

Phone

(609) 245-7420

NPI assigned

Dec 21, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144
  Medicare reassignment Care Compare group NPD
• Ignite Rehab Corp

  • Occupational Therapist
  • Wayne, NJ
  • NPI 1902542574
  Medicare reassignment NPD
• Metro Physical Therapy LLC

  • Physical Therapist
  • Garden City, NY
  • NPI 1144028796

  NJ

  Medicare reassignment NPD
• Performance Spine & Sports Medicine

  • Durable Medical Equipment & Medical Supplies
  • Hamilton, NJ
  • NPI 1356610133
  NPD (past)
• Robert Wood Johnson University Hospital at Hamilton

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Hamilton, NJ
  • NPI 1184019390
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1013677889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 QUAKERBRIDGE RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "08648",
            "telephone_number": "609-245-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 QUAKERBRIDGE RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484703",
            "telephone_number": "609-245-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGH",
        "first_name": "SHRADDHA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "40QA02014400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village Counseling Services, P.C.
• Francisco Javier Villota, M.D.
• Mary Jane Vinch, APN-C
• Visiting Caregivers of New Jersey, LLC.
• Deanna Vivino, M.ED.
• Alisa Hope Wain, DDS
• Tatiana A. Walrond, CMT
• Ching-Jen Wang, M.D.
• Sehla Wani
• Naila Wasti, M.D.

• Physical Medicine & Rehabilitation Physician in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.