Thomas Wagner

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

11315 Corporate Blvd
Orlando, FL 32817-8344

Phone

(800) 774-7785

NPI assigned

Dec 28, 2010

Sex

Male

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

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 and National Provider Directory roles.

• Performance Therapeutics Mission

  • Physical Therapist
  • Mission, TX
  • NPI 1548279565
  NPD (past)
• Performance Therapeutics Mission PLLC

  • Rehabilitation Clinic/Center
  • Mission, TX
  • NPI 1043744337
  NPD (past)
• Performance Therapeutics Rio Grandecity PLLC

  • Physical Therapist
  • Rio Grande City, TX
  • NPI 1528260221
  NPD (past)

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1730483249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11315 CORPORATE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328178344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11315 CORPORATE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328178344",
            "telephone_number": "800-774-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Wagner
• Charissa Wagner
• Curtis B Wagner, DPM
• Dennis M Wagner, OD
• Matthew Wagner
• Kurt Wahl, P.A.
• Deborah Ann Wahler, NP
• Philip Y. Wai, MD
• Emily Waite, PA-C
• Norma L. Waite, M.D.

• Physical Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.