Danielle Reynolds Wagamon, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2305208641 Issued in VA

Practice address

6949 Old Dominion Dr
Suite 330
McLean, VA 22101

Phone

(703) 848-9333

NPI assigned

Jun 23, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Easter Seals Delaware & Marylands Eastern Shore, Inc

  • Intellectual & Developmental Disabilities Psychologist
  • New Castle, DE
  • NPI 1437156635

  Physical Therapist

  NPD
• LHCG Ccxxxi, LLC

  • Home Health Agency
  • Bear, DE
  • NPI 1962117903
  NPD

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1982019519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HWY 500",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613099",
            "telephone_number": "410-766-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6949 OLD DOMINION DR",
            "address_2": "SUITE 330",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "22101",
            "telephone_number": "703-848-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGAMON",
        "first_name": "DANIELLE",
        "middle_name": "REYNOLDS",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25018",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305208641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinson Hall Corporation
• Virginia CVS Pharmacy, L.L.C.
• Virginia Psychotherapy Associates, PLLC
• Viriginia Oral Facial & Implant Surgery
• Vansay Vorrasane
• Scott Wagner, MSPT
• Denise Desiree Wallis, MD
• Washington Center for Cosmetic Eyelid Surgery, LLC
• Kenneth W Waters, MD
• Naoji Andrew Watson, PSY.D.

• Orthopedic Physical Therapist in McLean, VA
• Providers in McLean, VA by specialty
• Orthopedic Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.