Gabrielle Wagner, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20461 Issued in FL

Practice address

1965 42ND Ave Ste 2
Vero Beach, FL 32960-2502

Phone

(772) 999-3129

Fax

(772) 564-0380

NPI assigned

Mar 19, 2007

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)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Compass Therapeutic, Inc.

  • Clinic/Center
  • Vero Beach, FL
  • NPI 1235180118

  Physical Therapist

  NPD Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1497879092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 42ND AVE STE 2",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602502",
            "telephone_number": "772-999-3129",
            "fax_number": "772-564-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 42ND AVE STE 2",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602502",
            "telephone_number": "772-999-3129",
            "fax_number": "772-564-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "GABRIELLE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Votzi
• Wei Yin Vuong, DMD
• George Estol Wadsworth, NP-C
• Patrice Woo Wadsworth, ARNP
• Donna Wagner, OTR/L,CHT
• Joyce Lynn Wagner, PA-C
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Wal-Mart Stores East. LP
• Wal-Mart Stores Inc.

• Physical Therapist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.