Rebecca Wagnaar, P.T.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PTL-9435 Issued in CA

Practice address

1600 Prairie Center Pkwy
Brighton, CO 80601-4006

Phone

(303) 498-1840

Fax

(303) 498-1845

NPI assigned

Mar 24, 2014

Last updated

Mar 24, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1831516269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 PINON CIR",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805167958",
            "telephone_number": "303-543-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PRAIRIE CENTER PKWY",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014006",
            "telephone_number": "303-498-1840",
            "fax_number": "303-498-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNAAR",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PTL-9435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Vincent, FNP-C
• Karen Vizyak, P.T.
• Jennifer Vogler, DPT
• Amely Vu, LCSW
• Rebecca Marie Wadsworth
• Emily Waikem
• Wal-Mart Stores, Inc. (Vision Center 30-1659)
• Jonathan Daniel Waldmann, MD
• Darrick Waldrup
• Walgreen Co (Walgreens #06344)

• Physical Medicine & Rehabilitation Physician in Brighton, CO
• Providers in Brighton, CO by specialty
• Physical Medicine & Rehabilitation Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.