Active NPI
Riley Cape Wagner, DPT
- Physical Therapist
- Buda, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1245 Main St Ste 230
Buda, TX 78610-2269 - Phone
- (512) 400-4437
- Fax
- (512) 572-7802
- NPI assigned
- Aug 22, 2024
- Last updated
- Sep 2, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | TX | Primary |
Addresses
Primary practice location
1245 Main St Ste 230
Buda, TX 78610-2269
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1245 Main St
Suite 230
Buda, TX 78610-2269
Phone (512) 400-4437
180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Physical Therapist | Current | Accepting new patients |
| Texas Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
1245 Main St
Ste 230
Buda, TX 78610
Phone (512) 400-4437
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
20090 Marketplace Ave
Ste 130
Kyle, TX 78640
Phone (737) 248-0968
180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1538573746
-
- Physical Therapist
- Southlake, TX
- NPI 1790309656
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725235200000",
"number": "1457184756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 MAIN ST STE 230",
"city": "BUDA",
"state": "TX",
"postal_code": "786102269",
"telephone_number": "512-400-4437",
"fax_number": "512-572-7802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "RILEY",
"middle_name": "CAPE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-22",
"last_updated": "2024-09-02",
"certification_date": "2024-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buda, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; 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.