Ronnie A Wagley Jr., M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

04564 Issued in LA

Practice address

1005 Fisher Rd
Many, LA 71449-3833

Phone

(318) 256-0800

Fax

(318) 238-2811

NPI assigned

Oct 21, 2008

Last updated

Feb 8, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therateam Outpatient Services, LLC

  • Orthopedic Physical Therapist
  • Haughton, LA
  • NPI 1821333055
  NPD (past)
• Therateam, LLC

  • Physical Therapist
  • Natchitoches, LA
  • NPI 1639589153
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1487806568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ISADORE ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575747",
            "telephone_number": "318-238-2820",
            "fax_number": "318-238-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 FISHER RD",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714493833",
            "telephone_number": "318-256-0800",
            "fax_number": "318-238-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGLEY",
        "first_name": "RONNIE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "04564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "04564",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonny Valentine, PD
• Vanguard Behavioral Health Consultants,
• London Blair Vidrine, MSW
• Melissa Branch Vines, APRN, FNP-C
• James M Wagley, LCSW-BACS
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0876)
• Wal-Mart Stores East LP (Vision Center 30-0876)
• Walgreen Co (Walgreens #12306)
• Maile Walter, M.S., CCC-SLP
• Janerrica Janay Warfield, BS

• Physical Therapist in Many, LA
• Providers in Many, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.