Melinda Kay Wagner, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P21235 Issued in NC

Practice address

2000 S Glenburnie Rd Ste 210
New Bern, NC 28562-5227

Phone

(252) 302-5200

Fax

(252) 302-2191

NPI assigned

Feb 25, 2007

Last updated

Oct 13, 2022By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

88.67 of 100Reported as group

Quality

85.21

Promoting interoperability

99

Improvement activities

40

Cost

77.85

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: melinda.wagner.p12@direct.athleticoltd.nextgenshare.com

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1841326907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-373-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S GLENBURNIE RD STE 210",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625227",
            "telephone_number": "252-302-5200",
            "fax_number": "252-302-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MELINDA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "MO R1111",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "MO R1111",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli J. Voegele, MSW, P-LCSW
• Olivia Vohnoutka, PT, DPT
• Aly Von Haven, OTR/L
• Sydney Tyree Wade, LCSW-A
• Regan Leanne Wagaman
• Nicole Wagoner, LCMHC
• Wal-Mart Stores East LP (WalMart Pharmacy 10-7218)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1300)
• Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
• Jeffrey Brian Walden, PSY.D.

• Physical Therapist in New Bern, NC
• Providers in New Bern, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.