Active NPI
Patrick M Wager, PT
- Physical Therapist
- Cheektowaga, NY
National Provider Identifier
1255450854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 017341-1
- Practice address
- 2365 Union Rd
Cheektowaga, NY 14227-2234 - Phone
- (716) 668-8100
- NPI assigned
- Mar 28, 2007
- Last updated
- Jul 8, 2007
- 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 | 017341-1 | NY | Primary |
Addresses
Primary practice location
2365 Union Rd
Cheektowaga, NY 14227-2234
Mailing address
79 Autumn Creek CT
East Amherst, NY 14051-2929
Phone (716) 688-7486
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017341-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255450854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 AUTUMN CREEK CT",
"city": "EAST AMHERST",
"state": "NY",
"postal_code": "140512929",
"telephone_number": "716-688-7486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2365 UNION RD",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142272234",
"telephone_number": "716-668-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGER",
"first_name": "PATRICK",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "017341-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheektowaga, NY
- Suzanne Harriet Voigt, LPN
- Trisha Michelle Voit
- Alexandria Wabick, LMSW
- Tiffany Waddell, LPN
- Jennifer Wadell, LPN
- Phyllis J Wagner
- Kelly J Wahl, LMT
- Wal-Mart Stores East LP (Walmart Pharmacy 10-2586)
- Wal-Mart Stores East, LP (Walmart Vision Center 30-2586)
- Wal-Mart Stores East, LP (Walmart Pharmacy 10-2586)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.