ALICIA WAGNER


Address: 1000 N Central Ave Ste 110, Glendale, CA 91202-3685
Phone: 8182438422

ALICIA WAGNER (NPI# 1235737966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235737966
Entity Type Individual
Full Name ALICIA WAGNER
Credential DPT
Practice Address 1000 N Central Ave Ste 110
Glendale
CA 91202-3685
Mailing Address 1616 Hanging Rock Ave
Montebello
CA 90640-2124
Practice Telephone 8182438422
Mailing Telephone 3236837042
Enumeration Date 2020-10-14
Last Update Date 2020-10-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
298900 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers ALICIA WAGNER

NPI Name Taxonomy Address Enumeration
1376085993 Alicia Ralston Wagner Physical Therapist 13357 Little Antietam Rd, Hagerstown, MD 21742-4951 2016-11-14
1649782574 Alicia Ann Wagner Counselor 900 W Norfolk Ave Ste 200, Norfolk, NE 68701-5006 2017-11-01

Office Location

Street Address 1000 N CENTRAL AVE STE 110
City GLENDALE
State CA
Zip Code 91202-3685

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841614179 Hamideh Badiefard Physical Therapist 1000 N Central Ave Ste 110, Glendale, CA 91202-2957 2014-02-06
1629602230 Andre Brandon Darbidian Physical Therapist 1000 N Central Ave Ste 110, Glendale, CA 91202-3685 2020-02-24
1790345940 Jarel Russell Occupational Therapist 1000 N Central Ave Ste 110, Glendale, CA 91202-3685 2019-06-19
1336600030 Aneri Joshi Physical Therapy Assistant 1000 N Central Ave Ste 110, Glendale, CA 91202-3685 2019-03-26
1386141190 Randall Yparraguirre De Leon Physical Therapy Assistant 1000 N Central Ave Ste 110, Glendale, CA 91202-3685 2018-04-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528538857 Forever Active Cbas Clinic/Center 1111 W Glenoaks Blvd, Glendale, CA 91202 2018-11-29
1144724436 Kristine Bustos Nurse Practitioner 1200 N Pacific Ave Ste 104, Glendale, CA 91202 2018-03-21
1295159614 Kevin Lew Dentist 1122 N. Brand Blvd. Suite 102, Glendale, CA 91202 2014-02-05
1568709350 Helen Chalakians Counselor 525 Glenwood Rd, Glendale, CA 91202 2013-01-14
1316216161 Teresa Eligio Nurse Practitioner 857 Grant Ave, Glendale, CA 91202 2011-12-23
1033486139 Advance Hospice Care, Inc. Home Health 1209 N. Central Ave Suite 204, Glendale, CA 91202 2011-11-18
1659518785 Sarine Davityan Marriage & Family Therapist 1010 N Central Ave # 310, Glendale, CA 91202 2009-01-12
1760635619 Tatiana Mikaelian Dds Inc Dentist 1209 N. Central Ave, #203, Glendale, CA 91202 2008-10-23
1669624219 Marine Demirjian Allergy & Immunology 1131 N Pacific Ave, Glendale, CA 91202 2008-10-15
1902055783 Lousine Vahagn Kirakosian Dentist 125 E. Glenoaks Blvd., Suite 103, Glendale, CA 91202 2008-09-16
Find all providers in zip 91202

Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073901955 Roy-carlo Maclang Physical Therapist 1939 Academy Pl, Glendale, CA 91206-1602 2014-12-31
1790974673 Daniel A. Pauley Physical Therapist 5150 N Port Washington Rd Ste 130, Glendale, WI 53217-5470 2007-10-17
1003427444 Landis Randall Mains Physical Therapist 9980 W Glendale Ave Ste 110, Glendale, AZ 85307-3005 2020-08-10
1043725740 Catalyst Athletic Performance, LLC Physical Therapist 999 S Clermont St, Glendale, CO 80246-2539 2017-12-05
1619494325 William Norman Physical Therapist 4344 W Bell Rd, Glendale, AZ 85308-3589 2017-08-23
1013431923 Daniel Glen Cox Physical Therapist 9980 W Glendale Ave Ste 110, Glendale, AZ 85307-3005 2017-08-01
1063871549 Kt Medical Healthcare PC Physical Therapist 6517 Myrtle Ave, Glendale, NY 11385-6248 2016-02-12
1104245075 Joseph Ku Physical Therapist 500 W Glenoaks Blvd, Glendale, CA 91202-2813 2014-04-08
1568895324 Lindsey Renee Wagner Physical Therapist 20325 N 51st Ave Bldg 6, Ste 148, Glendale, AZ 85308-5674 2013-08-15
1417244807 Kimberly Kruchowsky Physical Therapist 6320a W Union Hills Dr, Glendale, AZ 85308-7177 2011-07-06
Find all providers in GLENDALE

Competitor

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City GLENDALE
Zip Code 91202

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Dataset Information

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.

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