Matthew Wagner in Boulder - Physical Therapist
Matthew Wagner - NPI 1043413859
Matthew Wagner is a Physical Therapist in Boulder, Colorado. Matthew Wagner practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Matthew Wagner is 1043413859. The last update date is 2022-09-29.
Matthew Wagner's current location address is 2150 Stadium Drive, Boulder, Colorado. You can contact this provider via phone number 3033159900 and fax number 3033159902. The mailing address for Matthew Wagner is 2150 Stadium Drive, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Wagner |
|---|---|
| Address | 2150 Stadium Drive, Boulder, Colorado |
| Phone Number | 3033159900 |
| Fax Number | 3033159902 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1043413859 |
|---|---|
| Provider Enumeration Date | 2007-06-08 |
| Last Updated Date | 2022-09-29 |
Provider Mailing Address Detail
| Address | 2150 Stadium Drive |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803091361 |
| Phone Number | 3033159900 |
| Fax Number | 3033159902 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 29375 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique identification code assigned to Matthew Wagner by the Centers for Medicare & Medicaid Services?
The Matthew Wagner has been issued the NPI (National Provider Identifier) 1043413859. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Matthew Wagner located?
The Matthew Wagner is located at 2150 Stadium Drive, Boulder, CO 803091361.
What is Matthew Wagner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Matthew Wagner's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.
When did Matthew Wagner receive its 1043413859 assignment?
The Matthew Wagner was assigned its 1043413859 on 2007-06-08, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Matthew Wagner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Matthew Wagner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-09-29.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL