Lindsey Renee Wagner, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

10357 Issued in AZ

Practice address

20325 N 51St Ave BLDG 6
Ste 148
Glendale, AZ 85308-5674

Phone

(623) 249-3216

Fax

(623) 249-3218

NPI assigned

Aug 15, 2013

Last updated

Aug 15, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Balanced Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Litchfield Park, AZ
  • NPI 1225245749
  NPD (past)

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1568895324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE BLDG 6",
            "address_2": "STE 148",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085674",
            "telephone_number": "623-249-3216",
            "fax_number": "623-249-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE BLDG 6",
            "address_2": "STE 148",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085674",
            "telephone_number": "623-249-3216",
            "fax_number": "623-249-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "LINDSEY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "10357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanh Thuy Vuong, DC
• Huy Vuong, DO
• W L Judge Chiropractic Center P C
• Daisy Waanders, RD
• Jennifer Wagner, MS, OTR/L
• Christa M Wagnon, RN, FNP
• Wagoner Care LLC
• Nicole R Wahlers
• Jennifer Wainwright
• Wal-Mart Stores, Inc. (Walmart Vision Center 30-1532)

• Orthopedic Physical Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Orthopedic Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.