Active NPI
Thomas Wager II, PT, DPT
- Physical Therapist
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11708
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 75.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro-Motion Physical Therapy of Florence, SC, LLC | Physical Therapist | Current | Accepting new patients |
| Ih3 Physcial Therapy | Physical Therapist | Past | 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.
-
- Physical Therapist
- Lake City, SC
- NPI 1821474115
-
dba CPM Physical Therapy
- Physical Therapy Clinic/Center
- Lake City, SC
- NPI 1104145697
Physical Therapist
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.