Zachary Paul Wagner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT028784 Issued in PA

Practice address

613 Cricklewood Rd
West Chester, PA 19382-8507

Phone

(484) 266-0387

NPI assigned

Oct 8, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab1 LLCGroup PAC ID 3173626272, 79 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rehab1 LLC

  • Physical Therapist
  • West Chester, PA
  • NPI 1902976855

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1437756707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7842 BOYERTOWN PIKE",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195128109",
            "telephone_number": "610-780-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 CRICKLEWOOD RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193828507",
            "telephone_number": "484-266-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ZACHARY",
        "middle_name": "PAUL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Gia Waetzman, CRNP
• Cynthia Wagner, NP
• Emily Marie Wagner, MA
• Sarah Wagner
• Sarah Pearce Wagner, LPC, M.S.
• Jeffrey M Wahl, M.D.
• Stephanie Wahl
• Megan Waite, CCC-SLP
• Amanda Marie Walb, MS, BS
• Kimberly Walcoff

• Physical Therapist in West Chester, PA
• Providers in West Chester, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.