Larry J Wagner II, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

DAPT003280 Issued in PA

Practice address

1620 Pacific Ave
Natrona Heights, PA 15065-2101

Phone

(724) 224-2166

NPI assigned

Aug 29, 2007

Sex

Male

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)

Enrolled

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.

• The Physical Therapy Institute

  • Physical Therapy Clinic/Center
  • Elizabethtown, PA
  • NPI 1306245089
  NPD (past)
• The Physical Therapy Institute

  • Physical Therapist
  • Washington, PA
  • NPI 1417970690
  NPD (past)

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1972797488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 NORTHGATE PLZ",
            "city": "HARMONY",
            "state": "PA",
            "postal_code": "160379257",
            "telephone_number": "724-452-1277",
            "fax_number": "724-452-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 PACIFIC AVE",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652101",
            "telephone_number": "724-224-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "LARRY",
        "middle_name": "J",
        "name_suffix": "II",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT003280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Gaye Venesky, PTA
• Victor Francis Vercammen, PHARMD
• W R Balash MD
• Erin L Wagner-Haggerty, CRNP
• Christian Todd Wagner, CRNA
• Wal-Mart Stores East LP
• Emorfia Aimee Pauline Walker, LPC
• Alexandra Lynn Walters
• Richard Bell Wardrop, MS, PT
• Elizabeth A Warnick, CRNP

• Physical Therapist in Natrona Heights, PA
• Providers in Natrona Heights, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.