Active NPI
Susan M Wagner, PT, CHT
- Hand Physical Therapist
- Hastings, MN
National Provider Identifier
1144337635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Physical Therapist
- License
- 6588
- Practice address
- 85 Pleasant Dr
Hastings, MN 55033-1648 - Phone
- (651) 404-1002
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hand Physical Therapist | 2251H1200X | 6588 | Primary |
Addresses
Primary practice location
85 Pleasant Dr
Hastings, MN 55033-1648
Mailing address
1307 18TH St W
Hastings, MN 55033-3212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00366775 | Other | MN | RAILROAD MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Past | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585872000000",
"number": "1144337635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 18TH ST W",
"city": "HASTINGS",
"state": "MN",
"postal_code": "550333212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 PLEASANT DR",
"city": "HASTINGS",
"state": "MN",
"postal_code": "550331648",
"telephone_number": "651-404-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "PT, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": null,
"license": "6588",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00366775",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hastings, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.