Nathan William Waag, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

12057 Issued in CO

Practice address

1700 18TH Ave
Greeley, CO 80631-5134

Phone

(970) 353-3370

NPI assigned

Mar 27, 2012

Last updated

Mar 27, 2012By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1467728170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 52ND AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344224",
            "telephone_number": "970-371-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 18TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315134",
            "telephone_number": "970-353-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAAG",
        "first_name": "NATHAN",
        "middle_name": "WILLIAM",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "12057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen L Vorderberg, CNM
• Jasmine Vork
• Carla Voss
• Sara Michelle Vrabec, M.D.
• VVMC Diversified Services (Vail Health Clinics Greeley)
• Rebeca Wagner, LCSW
• Wal-Mart Stores, Inc. (Vision Center 30-0980)
• Wal-Mart Stores, Inc. (Vision Center 30-5051)
• Benjamin Wald
• Kaleia Cherie Walden

• Physical Therapy Assistant in Greeley, CO
• Providers in Greeley, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.