Meaghan A Wagner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27784 Issued in MD

Practice address

9110 Philadelphia Rd Ste 314
Baltimore, MD 21237-4327

Phone

(410) 616-1401

Fax

(410) 686-6915

NPI assigned

Dec 9, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Maryland Medical Regional Professional Services, LLCGroup PAC ID 5799930046, 30 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 and National Provider Directory roles.

• University of Maryland Medical Regional Professional Services, LLC

  • Physical Therapist
  • Towson, MD
  • NPI 1225383250
  Medicare reassignment Care Compare group NPD
• University of Maryland Medical Regional Professional Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Rosedale, MD
  • NPI 1447003025

  Physical Therapist

  NPD

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1639716756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8322 BELLONA AVE STE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042065",
            "telephone_number": "410-337-8847",
            "fax_number": "410-337-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 PHILADELPHIA RD STE 314",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374327",
            "telephone_number": "410-616-1401",
            "fax_number": "410-686-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MEAGHAN",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TOWSON",
            "affiliation": "N",
            "address_1": "9110 Philadelphia Rd Ste 314",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212374327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristen M Wagner, L.C.P.C.
• Kristin P. Wagner, LCSW-C
• Lee-Ann Marie Wagner, MD
• Leslie Wagner, MS, CCC/SLP
• Matthew Steven Wagner
• Melissa Wagner, AGACNP-BC
• Michele Lynn Wagner, LGSW
• Norma Jean Wagner, RD, LDN
• Pablo Wagner, M.D.
• Phillip Wagner, MD

• Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.