Active NPI
Kody D Wagner, PT, DPT
- Physical Therapist
- Uniontown, PA
National Provider Identifier
1093124653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT023664
- Practice address
- 150 Wayland Smith Dr
Suite a
Uniontown, PA 15401-2677 - Phone
- (724) 437-8200
- NPI assigned
- Aug 7, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT023664 | PA | Primary |
Addresses
Primary practice location
150 Wayland Smith Dr
Suite a
Uniontown, PA 15401-2677
Mailing address
150 Wayland Smith Dr
Suite a
Uniontown, PA 15401-2677
Phone (724) 437-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1093124653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 WAYLAND SMITH DR",
"address_2": "SUITE A",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154012677",
"telephone_number": "724-437-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 WAYLAND SMITH DR",
"address_2": "SUITE A",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154012677",
"telephone_number": "724-437-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "KODY",
"middle_name": "D",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-07",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT023664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Uniontown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.