Individual provider Active NPI

Anastasia Wagner, PT, DPT

  • Physical Therapist
  • Grapevine, TX
National Provider Identifier
1427823830
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1386070 Issued in TX
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

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 PLLCGroup PAC ID 1355620055, 85 clinicians

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

OrganizationSpecialtyStatusNew patients
PT Holdings of Denton LLC Physical Therapist CurrentSince Mar 30, 2024 Accepting new patients
Therapy Associates of Texas, LP Physical Therapist CurrentSince Mar 30, 2024 Accepting new patients
Doctx3 PLLC CurrentSince Nov 10, 2024 Accepting new patients
Doctx3 PLLC CurrentSince Nov 10, 2024 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.

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.

Verify at the official NPI Registry.