Active NPI
Cheryl Lynn Wagner
- Specialist
- Scotia, NY
National Provider Identifier
1265956239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 300 Wren St
Sacandaga School
Scotia, NY 12302 - Phone
- (518) 386-4311
- NPI assigned
- Aug 1, 2017
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
300 Wren St
Sacandaga School
Scotia, NY 12302
Mailing address
1 Rapp Rd
Advanced Therapy
Albany, NY 12203
Phone (518) 867-3061
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Therapy, P.L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- Albany, NY
- NPI 1396907697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501545600000",
"number": "1265956239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RAPP RD",
"address_2": "ADVANCED THERAPY",
"city": "ALBANY",
"state": "NY",
"postal_code": "12203",
"telephone_number": "518-867-3061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WREN ST",
"address_2": "SACANDAGA SCHOOL",
"city": "SCOTIA",
"state": "NY",
"postal_code": "12302",
"telephone_number": "518-386-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "CHERYL",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-01",
"last_updated": "2017-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scotia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.