Megan Marie Wagner, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

8344 Clairemont Mesa Blvd Ste 110
San Diego, CA 92111-1327

Phone

(858) 565-6910

Fax

(858) 565-6911

NPI assigned

Sep 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1487323184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 OHIO ST APT 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163235",
            "telephone_number": "518-269-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8344 CLAIREMONT MESA BLVD STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111327",
            "telephone_number": "858-565-6910",
            "fax_number": "858-565-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mwagnerpt@gmail.com",
            "affiliation": "N",
            "address_1": "8344 Clairemont Mesa Blvd",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921111307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffrey Wagner, LPCC
• Jessica Grace Wagner, PT, DPT
• Katelin Wagner
• Kimberly Eileen Wagner, M.A.
• Klaus Wolfgang Wagner, MD PHD
• Michele D Wagner
• Morgan Ashley Wagner
• Naomi Elizabeth Wagner, MS
• Nathan Eli Wagner, IDC
• Paul D Wagner, M.D., F.A.C.P.

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.