Leigh Wagner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005662 Issued in KY

Practice address

9039 US Highway 42 Ste G
Union, KY 41091-7195

Phone

(859) 384-0367

Fax

(859) 384-0787

NPI assigned

Mar 26, 2007

Sex

Female

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)

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.

• Kentucky Osteo Relief Institute PSC

  • Addiction Medicine (Family Medicine) Physician
  • Lexington, KY
  • NPI 1679819353

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1427176015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "telephone_number": "423-238-8930",
            "fax_number": "423-254-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9039 US HIGHWAY 42 STE G",
            "city": "UNION",
            "state": "KY",
            "postal_code": "410917195",
            "telephone_number": "859-384-0367",
            "fax_number": "859-384-0787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1019 Majestic Dr",
            "address_2": "Suite 270",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405131496",
            "country_code": "US",
            "telephone_number": "859-446-5603",
            "fax_number": "859-223-0494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT010238",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Union Emergency Services Alliance
• Union Fire Protection District
• Union Pediatrics, PSC
• Beau Jordan Van Wechel
• Eblin Carolina Venegas, RN
• Pamela C Walden, DMD
• Connie S. Wallace, M.A., CCC
• Brian J Walters, MD
• Robin Michelle Warner, MD
• Nicholas Clegg Watson

• Physical Therapist in Union, KY
• Providers in Union, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.