Elizabeth Anne Wagner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6251 Issued in SC

Practice address

2362 Two Notch Rd
Columbia, SC 29204-2257

Phone

(803) 799-7007

NPI assigned

Aug 16, 2010

Last updated

Aug 16, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Parish Therapy Center, LLCGroup PAC ID 8022048867, 26 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jackson Parish Therapy Center LLC

  dba Fyzical Therapy & Balance Centers

  • Physical Therapist
  • Ruston, LA
  • NPI 1891794491
  Medicare reassignment Care Compare group NPD
• Daniel Wood PT, Inc.

  • Specialist
  • Bastrop, LA
  • NPI 1275590978
  Medicare reassignment NPD
• Daniel Wood PT Inc

  • Specialist
  • Oak Grove, LA
  • NPI 1730382961
  NPD (past)
• Jesse L Wied PT Physical Therapy Clinic Inc

  dba Wied Physical Therapy

  • Physical Therapist
  • Monroe, LA
  • NPI 1538101902
  NPD (past)

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1699080549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2362 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042257",
            "telephone_number": "803-799-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2362 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042257",
            "telephone_number": "803-799-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Mae Waganer, PNP
• Jason V Wages II, RN
• W Claire Wages, DC
• Alexander Morse Wagner, M.D.
• Alexandra Wagner, LM, CPM
• Kathleen Wagner, LMSW
• Melissa Lee Wagner, PT
• Rachel Kathryn Wagner
• Lucas Jacob Wagoner
• Nasir Waheed, M.D.

• Physical Therapist in Columbia, SC
• Providers in Columbia, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.