Carolyn Wagner in Oshkosh - Physical Therapy Assistant
Carolyn Wagner - NPI 1306002506
Carolyn Wagner is a Physical Therapy Assistant in Oshkosh, Wisconsin. Carolyn Wagner practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Carolyn Wagner is 1306002506. The last update date is 2008-08-06.
Carolyn Wagner's current location address is 1130 N Westfield St, Oshkosh, Wisconsin. You can contact this provider via phone number 9202372163. The mailing address for Carolyn Wagner is 1130 N Westfield St, Oshkosh, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn Wagner |
|---|---|
| Address | 1130 N Westfield St, Oshkosh, Wisconsin |
| Phone Number | 9202372163 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1306002506 |
|---|---|
| Provider Enumeration Date | 2008-08-06 |
| Last Updated Date | 2008-08-06 |
Provider Mailing Address Detail
| Address | 1130 N Westfield St |
|---|---|
| City | Oshkosh |
| State | Wisconsin (WI) |
| Post Code | 549023217 |
| Phone Number | 9202372163 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 1176-19 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40460700 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Carolyn Wagner by the Centers for Medicare & Medicaid Services?
The Carolyn Wagner has been assigned the NPI (National Provider Identifier) 1306002506 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Carolyn Wagner located?
The Carolyn Wagner is located at 1130 N Westfield St, Oshkosh, WI 549023217.
What is the area of specialization for Carolyn Wagner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Carolyn Wagner is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 225200000X.
On what date did the Carolyn Wagner receive the assignment of its 1306002506 from the Centers for Medicare & Medicaid Services?
The Carolyn Wagner was issued its 1306002506 by the Centers for Medicare & Medicaid Services on 2008-08-06.
As of what date was the information pertaining to Carolyn Wagner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Carolyn Wagner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-06.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC