Active NPI
Darlene Wagar
- Physical Therapist
- West Richland, WA
National Provider Identifier
1164689808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00007792
- Practice address
- 3414 Eastlake CT
West Richland, WA 99353-7311 - Phone
- (360) 601-4233
- NPI assigned
- May 20, 2008
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00007792 | WA | Primary |
Addresses
Primary practice location
3414 Eastlake CT
West Richland, WA 99353-7311
Mailing address
3414 Eastlake CT
West Richland, WA 99353-7311
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00007792 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RPM Rehab, Inc | Physical Therapist | Past | Accepting new patients |
| Agape Therapy Services ,PLLC | Physical Therapist | 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.
-
- Pediatric Physical Therapist
- Richland, WA
- NPI 1144622861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383177600000",
"number": "1164689808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3414 EASTLAKE CT",
"city": "WEST RICHLAND",
"state": "WA",
"postal_code": "993537311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3414 EASTLAKE CT",
"city": "WEST RICHLAND",
"state": "WA",
"postal_code": "993537311",
"telephone_number": "360-601-4233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGAR",
"first_name": "DARLENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2013-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00007792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.