Alyssa Wagner, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0014235 Issued in CO

Practice address

3801 E Florida Ave Ste 330
Denver, CO 80210-2546

Phone

(303) 370-2670

Fax

(303) 370-2696

NPI assigned

Nov 1, 2016

Last updated

Mar 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physio Pro, IncGroup PAC ID 0941394753, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Physio Pro, Inc.

  • Physical Therapist
  • Denver, CO
  • NPI 1710185830
  Medicare reassignment Care Compare group NPD
• Physio Pro, Inc.

  dba Evolution Physical Therapy

  • Physical Therapist
  • Golden, CO
  • NPI 1104573666
  NPD

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1497207898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 E FLORIDA AVE STE 330",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102546",
            "telephone_number": "303-370-2670",
            "fax_number": "303-370-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 E FLORIDA AVE STE 330",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102546",
            "telephone_number": "303-370-2670",
            "fax_number": "303-370-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ALYSSA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0014235",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "0014235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wagg, Inc.
• Clyde E Waggoner, DMD
• Colleen Waggoner, FNP
• George Andrew Waggoner, CSFA
• Jeffrey Lynn Wagnaar, P.T.
• Caroline Wagner, LCSW
• Dresden Marie Wagner, CPFS, CAT, ADS
• Elaine Dudley Wagner, MD
• Elisabeth A Wagner, PHD, NCC
• Emily Wagner

• Physical Therapist in Denver, CO
• Providers in Denver, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.