Elisabeth Wagner, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

01075581 Issued in NY

Practice address

4498 Main St., Suite 24
Amherst, NY 14226

Phone

(716) 839-1550

Fax

(716) 839-1696

NPI assigned

Sep 26, 2017

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

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.

• Phoenix Physical Therapy Services, P.C.

  • Orthopedic Physical Therapist
  • Amherst, NY
  • NPI 1053553578
  NPD (past)
• Swiatek Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Amherst, NY
  • NPI 1982025094
  NPD (past)

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1841709425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4498 MAIN ST., SUITE 24",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14226",
            "telephone_number": "716-839-1550",
            "fax_number": "716-839-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4498 MAIN ST., SUITE 24",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14226",
            "telephone_number": "716-839-1550",
            "fax_number": "716-839-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ELISABETH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "01075581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Volpe, LCAT, ATR-BC
• Thomas Michael Vona, PA-C
• Rebecca K Vujnovic, PH.D.
• Madison Aracelis Wachtel
• Benjamin John Wagner, P.A.
• Patricia Ann Wagner, ANP
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Nicole Heary Walawander
• Joanne Rose Marie Wales

• Physical Therapy Assistant in Amherst, NY
• Providers in Amherst, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; 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.