SUSAN M WAGNER (NPI# 1144337635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144337635 |
| Entity Type | Individual |
| Full Name | SUSAN M WAGNER |
| Credential | PT, CHT |
| Practice Address |
85 Pleasant Dr Hastings MN 55033-1648 |
| Mailing Address |
1307 18th St W Hastings MN 55033-3212 |
| Practice Telephone | 6514041002 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251H1200X |
Physical Therapist Specialization: Hand |
6588 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RAILROAD MEDICARE | P00366775 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514722 | Susan Maxine Wagner | Nurse Practitioner | 103 Hilton Cir, Enterprise, AL 36330-7815 | 2020-06-26 |
| 1154672400 | Susan Wagner | Case Manager/Care Coordinator | 12 Lancaster Rd, Island Park, NY 11558-2136 | 2012-09-26 |
| 1134420185 | Susan Carol Wagner | Social Worker | 1108 Dithridge Dr, Johnstown, PA 15905-1503 | 2010-11-08 |
| 1467776781 | Susan Elizabeth Wagner | Marriage & Family Therapist | 79 Encinal Way, Ventura, CA 93001-3317 | 2010-03-15 |
| 1275768558 | Susan J Wagner | Community Health Worker | 278 John Tuttle Rd, New Kingston, NY 12459 | 2009-05-15 |
| 1437353976 | Susan Folmar Wagner | Counselor | 1040 Allegheny Ave Sw, Ocean Crest School, Bandon, OR 97411-9034 | 2007-06-11 |
| 1508089053 | Susan Wagner | Psychologist | 223 Katonah Ave Ste Ef, Katonah, NY 10536-2146 | 2007-04-11 |
| 1346695301 | Susan Rae Wagner | Nurse Practitioner | 142 Highland Dr, Lebanon, VA 24266-4636 | 2016-04-27 |
| 1679963482 | Susan Anglin Wagner | Counselor | 205 N Monroe St, Media, PA 19063-3052 | 2015-02-01 |
| 1609158864 | Susan Wagner | Community Health Worker | 312 Crescent St, Greenville, CA 95947 | 2011-09-14 |
| Street Address |
85 PLEASANT DR |
| City | HASTINGS |
| State | MN |
| Zip Code | 55033-1648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407323959 | Julie Kaminski | Physical Therapist | 85 Pleasant Dr, Hastings, MN 55033-1648 | 2018-11-01 |
| 1801389242 | Jordan Mcgowan | Physical Therapist | 85 Pleasant Dr, Hastings, MN 55033-1648 | 2018-06-11 |
| 1356895676 | Michael Piazza Jr. | Physical Therapist | 85 Pleasant Dr, Hastings, MN 55033-1648 | 2016-08-04 |
| 1033561238 | Nicholas Bliek | Physical Therapist | 85 Pleasant Dr, Hastings, MN 55033-1648 | 2016-07-12 |
| 1982064473 | Anna Thomas | Physical Therapist | 85 Pleasant Dr, Hastings, MN 55033-1648 | 2016-02-26 |
| 1780041715 | Madeline Jeppesen | Occupational Therapist | 85 Pleasant Dr, Hastings, MN 55033-1648 | 2016-01-21 |
| 1760891626 | Michaela Lynn Silker | Speech-Language Pathologist | 85 Pleasant Dr, Hastings, MN 55033-1648 | 2014-08-05 |
| 1982947370 | Jennifer Marie Bloemendal | Physical Therapist | 85 Pleasant Dr, Hastings, MN 55033-1648 | 2013-04-03 |
| 1730452707 | Chelsea Marie Mayer | Specialist/Technologist | 85 Pleasant Dr, Hastings, MN 55033-1648 | 2012-02-21 |
| 1700060761 | Renee Dawn Haliburton | Physical Therapist | 85 Pleasant Dr, Hastings, MN 55033-1648 | 2007-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679052898 | Juan Miguel Almonte Sanchez | Dentist | 1465 N Frontage Rd, Hastings, MN 55033 | 2018-08-08 |
| 1194126995 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 1411 Vermillion, Hastings, MN 55033 | 2014-09-11 |
| 1134490469 | Bernie Jerome Menge | Counselor | 1303 S Frontage Rd Ste 275, Hastings, MN 55033 | 2012-01-18 |
| 1578874814 | Kristen Kingsbury Desautel | Optometrist | 1757 N. Frontage Rd, Hastings, MN 55033 | 2010-06-30 |
| 1790944973 | Parker Chiropractic Pa | Chiropractor | 1320 S Frontage Rd, Ste 102, Hastings, MN 55033 | 2008-06-03 |
| 1518144740 | Susan Hietala Levahn | Physical Therapist | 85 Pleasant Ave, Hastings, MN 55033 | 2008-01-30 |
| 1851578215 | John Thomas Tonsager | Physical Therapist | 1285 Nininger Road, Hastings, MN 55033 | 2008-01-29 |
| 1588849889 | Laura Lynn Richardson | Occupational Therapist | 85 Pleasant Drive, Hastings, MN 55033 | 2008-01-04 |
| 1518142801 | Debra Ann Perron Mccabe | Occupational Therapist | 1175 Nininger Road, Hastings, MN 55033 | 2008-01-04 |
| 1083899892 | Christina Marie Kummer | Occupational Therapist | 85 Pleasant, Regina Medical Center Ymca Location Out Pt Clinic, Hastings, MN 55033 | 2007-12-31 |
| Find all providers in zip 55033 | ||||
| Taxonomy Code | 2251H1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801920640 | Julie E Liebelt | Physical Therapist | 800 E 28th St, Suite 1750, Minneapolis, MN 55407-3723 | 2007-03-15 |
| 1750486262 | Russell Nieland | Physical Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2006-09-13 |
| 1427076694 | Mary Beth Schiffer | Physical Therapist | 4010 W 65th St, Edina, MN 55435-1706 | 2006-07-17 |
Please comment or provide details below to improve the information on SUSAN M WAGNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.