Active NPI
Cynthia Ann Wagner, R.M.T.
- Massage Therapist
- Edmond, OK
National Provider Identifier
1487802237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 407 W 15TH St Ste 1
Edmond, OK 73013-3668 - Phone
- (405) 330-4604
- Fax
- (405) 330-4604
- NPI assigned
- Sep 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
407 W 15TH St Ste 1
Edmond, OK 73013-3668
Mailing address
407 W 15TH St Ste 1
Edmond, OK 73013-3668
Phone (405) 330-4604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1487802237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 W 15TH ST STE 1",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133668",
"telephone_number": "405-330-4604",
"fax_number": "405-330-4604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 W 15TH ST STE 1",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133668",
"telephone_number": "405-330-4604",
"fax_number": "405-330-4604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "CYNTHIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "R.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-05",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
- Ashley Elise Wade
- Nicole R Wade, PTA
- Jordyn Nicole Wadley
- Emmanuel Wadmia
- Benjamin Wagner
- Derrick Durell Wagoner, D.O.
- Elizabeth Wagoner, DPH
- Wal-Mart Stores East , LP (Walmart Vision Center 30-2803)
- Wal-Mart Stores East , LP (Walmart Pharmacy 10-0389)
- Wal-Mart Stores East , LP (Walmart Vision Center 30-0389)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.