Sara Wagner DO PLLC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

Legal business name

SARA WAGNER DO PLLC

Doing business as

Sara Wagner, DO PLLC Osteopathic Manipulative Therapy

Practice address

11922 98TH Ave NE
Kirkland, WA 98034-4211

Phone

(425) 324-9191

NPI assigned

Jul 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Sara Wagner, DO

Title

Physician, Owner

Phone

(425) 736-5848

Specialties & licenses 1

Addresses

Other names 1

• Sara Wagner, DO PLLC Osteopathic Manipulative Therapy Doing business as

Locations

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1962180364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11922 98TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344211",
            "telephone_number": "425-324-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11922 98TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344211",
            "telephone_number": "425-324-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA WAGNER DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "425-736-5848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sara Wagner, DO PLLC Osteopathic Manipulative Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sara Wagner, DO PLLC Osteopathic Manipulative Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kora Santiago Puddin'
• Kathrine Santiago, LMT
• Nichole Michelle Santoro, LAC, LMT
• Vincent M Santoro, MD
• Brooke Ashley Saporito, RN
• Lisa Sarver, LMHCA
• Kimiko Sasaki
• Steven S. Sasaki, MD
• Valerie Lynn Sasson, LM,CPM
• Anna Satenstein, LMFT

• Neuromusculoskeletal Medicine & OMM Physician in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.