Jeffrey Lynn Wagnaar, P.T.

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

325 King St
Denver, CO 80219-1326

Phone

(303) 225-4100

Fax

(303) 486-5501

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Savio House, Inc.

  • Professional Counselor
  • Denver, CO
  • NPI 1023132263

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1235254459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 KING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802191326",
            "telephone_number": "303-225-4100",
            "fax_number": "303-486-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 KING ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802191326",
            "telephone_number": "303-225-4100",
            "fax_number": "303-486-5501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 W South Boulder Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800271289",
            "country_code": "US",
            "telephone_number": "303-673-1240",
            "fax_number": "303-673-1245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNAAR",
        "first_name": "JEFFREY",
        "middle_name": "LYNN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL-6924",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Wageman
• Wagg, Inc.
• Clyde E Waggoner, DMD
• Colleen Waggoner, FNP
• George Andrew Waggoner, CSFA
• Alyssa Wagner, PT, DPT
• Caroline Wagner, LCSW
• Elaine Dudley Wagner, MD
• Elisabeth A Wagner, PHD, NCC
• Emily Wagner

• Social Worker in Denver, CO
• Providers in Denver, CO by specialty
• Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.