Amber M Wagner-Haston, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

033984 Issued in AZ

Practice address

1790 E River Rd Ste 101
Tucson, AZ 85718-5958

Phone

(520) 783-3344

NPI assigned

Jan 22, 2025

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

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Shoulder Elbow and Hand Center PCGroup PAC ID 7113905282, 9 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.

• Southwest Shoulder Elbow & Hand Center PC

  • Orthopaedic Hand Surgery Physician
  • Tucson, AZ
  • NPI 1558405571
  Medicare reassignment Care Compare group NPD
• Sendero Medicine, PLLC

  • Sports Medicine (Emergency Medicine) Physician
  • Tucson, AZ
  • NPI 1427533462
  NPD

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1669284170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121256",
            "telephone_number": "520-290-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 E RIVER RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185958",
            "telephone_number": "520-783-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER-HASTON",
        "first_name": "AMBER",
        "middle_name": "M",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "033984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Wagelie Steffen, M.D.
• Jaclyn Waggoner
• Ryan Simene Waggoner
• Thomas E Waggoner I, D.O.
• Richard J Wagman, PHD
• Bridget Wagner, RDN
• D'Ovionn Wagner, LAT, ATC
• Diane Wagner, LCSW
• Eric Wagner
• Erica Rhea Wagner, LCSW

• Physical Medicine & Rehabilitation Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.