Active NPI
Anastasia Wagner, PT, DPT
- Physical Therapist
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1386070
- Practice address
- 2805 E Grapevine Mills Cir
Grapevine, TX 76051-1210 - Phone
- (682) 477-8040
- NPI assigned
- Nov 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 1386070 | TX | Primary |
Addresses
Primary practice location
2805 E Grapevine Mills Cir
Grapevine, TX 76051-1210
Mailing address
1501 Northstar Rd Apt 8302
Denton, TX 76208-1634
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240510002291 | TX | Practitioner - Physical Therapist in Private Practice | 1759722572 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Doctx3 PLLC
Practice addresses (Care Compare)
3100 Unicorn Lake Blvd
Suite 120
Denton, TX 76210-1544
Phone (469) 535-6813
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Holdings of Denton LLC | Physical Therapist | Current | Accepting new patients |
| Therapy Associates of Texas, LP | Physical Therapist | Current | Accepting new patients |
| Doctx3 PLLC | Current | Accepting new patients | |
| Doctx3 PLLC | Current | Accepting new patients |
Locations
14500 N Northsight Blvd
Ste 100
Scottsdale, AZ 85260
Phone (480) 848-1428
709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643
3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510
3100 Unicorn Lake Blvd
Ste 120
Denton, TX 76210
Phone (214) 444-5558
2745 Wind River Ln
Denton, TX 76210
Phone (480) 565-1008
9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647
3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558
Organizations & group practices 12
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.
-
- Clinic/Center
- Mansfield, TX
- NPI 1437802097
-
- Clinic/Center
- Austin, TX
- NPI 1003350075
-
- Durable Medical Equipment & Medical Supplies
- Denton, TX
- NPI 1235792169
-
- Clinic/Center
- Carrollton, TX
- NPI 1366986929
-
- Orthopaedic Surgery Physician
- Austin, TX
- NPI 1427567312
-
- Clinic/Center
- Southlake, TX
- NPI 1518476407
-
- Orthopaedic Surgery Physician
- Round Rock, TX
- NPI 1649701525
-
- Clinic/Center
- McKinney, TX
- NPI 1811406481
-
- Clinic/Center
- Frisco, TX
- NPI 1902340565
-
- Physical Therapist
- Denton, TX
- NPI 1508632639
-
- Physical Therapist
- Denton, TX
- NPI 1073278974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1427823830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 NORTHSTAR RD APT 8302",
"city": "DENTON",
"state": "TX",
"postal_code": "762081634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 E GRAPEVINE MILLS CIR",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760511210",
"telephone_number": "682-477-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "ANASTASIA",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-16",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1386070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.