Nicole T Wagner, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013927L Issued in PA

Practice address

2209 Quarry Dr
B 23
Reading, PA 19609-1155

Phone

(610) 678-9949

Fax

(610) 678-9636

NPI assigned

Apr 25, 2006

Last updated

Aug 3, 2007By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Apex Physical Therapy, LLC

  • Physical Therapist
  • Blue Bell, PA
  • NPI 1518921592
  NPD (past)
• Hands on Physical Therapy LLC

  • Physical Therapist
  • Reading, PA
  • NPI 1912098583
  NPD (past)
• Orthopedic and Sports Physical Therapy Services, Inc.

  dba Excel Physical Therapy

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1588661235
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186099200000",
    "number": "1659337822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 QUARRY DR",
            "address_2": "B-23",
            "city": "READING",
            "state": "PA",
            "postal_code": "196091155",
            "telephone_number": "610-678-9949",
            "fax_number": "610-678-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 QUARRY DR",
            "address_2": "B 23",
            "city": "READING",
            "state": "PA",
            "postal_code": "196091155",
            "telephone_number": "610-678-9949",
            "fax_number": "610-678-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "NICOLE",
        "middle_name": "T",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2007-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013927L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC",
            "identifier": "50053282",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "WA1749717",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louise L Waddell, CRNA
• Allison Wade, LSW
• Charles Allen Wagner Jr., DO
• Lauren Elizabeth Wagner, RDH, PHDHP
• Mark Elliot Wagner, D.O.
• Tiffany Wagner, LCSW
• Robert Wesley Wahl III, D.D.S.
• Donna Louise Wainwright, PT
• Wal-Mart Stores East , LP (Wal-Mart Pharmacy 10-1777)
• Wal-Mart Stores East, LP (Vision Center 30-1777)

• Physical Therapist in Reading, PA
• Providers in Reading, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; 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.