Organization Active NPI

Valponi&Wagner Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Chico, CA
National Provider Identifier
1083717607
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
VALPONI&WAGNER PHYSICAL THERAPY, INC
Practice address
1430 Esplanade
#8
Chico, CA 95926-3366
Phone
(530) 894-0221
Fax
(530) 894-0285
NPI assigned
Sep 7, 2006
Last updated
Jul 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Authorized official

Name
Mr. Jeffrey M Wagner, PT, CHTNPI 1578798914
Title
Owner
Phone
(530) 894-0221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1430 Esplanade
#8
Chico, CA 95926-3366

Mailing address

1430 Esplanade
#8
Chico, CA 95926-3366
Phone (530) 894-0221

Other identifiers 3

IdentifierTypeStateIssuer
OPT101350OtherCABLUE SHIELD
697197OtherCAACN
PT0101350MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@vwphysicaltherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130411000319 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7911076518 Receives reassigned benefits from 4 practitioners
Practice locations: Chico, CA

National Provider Directory

National Provider Directory

Locations

1430 The Esplanade
Ste 8
Chico, CA 95926
Phone (530) 894-0221

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1083717607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 ESPLANADE",
            "address_2": "#8",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263366",
            "telephone_number": "530-894-0221",
            "fax_number": "530-894-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 ESPLANADE",
            "address_2": "#8",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263366",
            "telephone_number": "530-894-0221",
            "fax_number": "530-894-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALPONI&WAGNER PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-894-0221",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, CHT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OPT101350",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "697197",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0101350",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@vwphysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "company email",
            "address_1": "1430 Esplanade",
            "address_2": "#8",
            "city": "Chico",
            "state": "CA",
            "country_code": "US",
            "postal_code": "959263366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.