Nora Wagner, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

705 W Plainfield Rd
Suit 1
Countryside, IL 60525-3684

Phone

(708) 352-1362

Fax

(708) 352-1365

NPI assigned

Jul 24, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1497001754",
    "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",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W PLAINFIELD RD",
            "address_2": "SUIT 1",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253684",
            "telephone_number": "708-352-1362",
            "fax_number": "708-352-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "NORA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melany Vargus
• Debby Vazquez
• Alyssa Villanueva
• Angela Sue Vokac, MA, CCC-SLP
• Ross G Vondrak, LMT, NCTMB
• Alan Lee Walker, D.C.
• Nal Annie Walter, DDS
• Monte Sarah Wang
• Kitana Ware
• Karen M Wickham, OTR L

• Physical Therapist in Countryside, IL
• Providers in Countryside, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.