Individual provider Active NPI

Thomas Wager II, PT, DPT

  • Physical Therapist
  • Spartanburg, SC
National Provider Identifier
1811373376
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11708 Issued in SC
Practice address
958 E Main St Ste B
Spartanburg, SC 29302-2148
Phone
(864) 278-0431
Fax
(864) 278-0461
NPI assigned
Aug 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11708 SC Primary

Addresses

Primary practice location

958 E Main St Ste B
Spartanburg, SC 29302-2148

Mailing address

PO Box 6526
Columbia, SC 29260-6526
Phone (803) 693-5040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230731001811 SC Practitioner - Physical Therapist in Private Practice 6002122066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro-Motion Physical Therapy of Florence SC LLCGroup PAC ID 8820307580, 18 clinicians

Practice addresses (Care Compare)

958 E Main St
Suite B
Spartanburg, SC 29302-2148
Phone (864) 278-0431

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
90
Improvement activities
40
Cost
75.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Motion Physical Therapy of Florence, SC, LLC Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients
Ih3 Physcial Therapy Physical Therapist PastSince Jun 14, 2010 Accepting new patients

Locations

148 Sauls St
Ste B
Lake City, SC 29560
Phone (843) 374-0185

958 E Main St
Spartanburg, SC 29302
Phone (864) 425-1572

958 E Main St
#B
Spartanburg, SC 29302
Phone (864) 278-0431

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1811373376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6526",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292606526",
            "telephone_number": "803-693-5040",
            "fax_number": "803-993-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 E MAIN ST STE B",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022148",
            "telephone_number": "864-278-0431",
            "fax_number": "864-278-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGER",
        "first_name": "THOMAS",
        "name_suffix": "II",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.