HOLLY M WAGNER (NPI# 1285767350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285767350 |
| Entity Type | Individual |
| Full Name | HOLLY M WAGNER |
| Credential | MPT |
| Practice Address |
1178 N Tustin St Orange CA 92867-6006 |
| Practice Telephone | 7142897790 |
| Practice Fax Number | 7142897786 |
| Mailing Telephone | 7142897790 |
| Mailing Fax Number | 7142897786 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 25502 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TYPE TWO NPI | 1154327922 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356783120 | Holly Sunset Wagner | Counselor | 1840 N 95th Ave, Suite 146, Phoenix, AZ 85037-4444 | 2013-07-22 |
| 1154769396 | Holly Kay Wagner | Registered Nurse | 2986 Kate Bond Rd, Bartlett, TN 38133-4003 | 2013-06-10 |
| Street Address |
1178 N TUSTIN ST |
| City | ORANGE |
| State | CA |
| Zip Code | 92867-6006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498644 | James William Herkimer | Physical Therapist | 1178 N Tustin St, Orange, CA 92867-6006 | 2005-06-24 |
| 1073885935 | Milan Physical Therapy & Associates Inc. | Physical Therapist | 1178 N Tustin St, Orange, CA 92867-6006 | 2012-02-07 |
| 1407044050 | Milan Steijn | Physical Therapist | 1178 N Tustin St, Orange, CA 92867-6006 | 2007-10-09 |
| 1033243886 | Michael Dean Hairston | Physical Therapist | 1178 N Tustin St, Orange, CA 92867-6006 | 2007-03-15 |
| 1114050275 | Timothy E Daley | Physical Therapist | 1178 N Tustin St, Orange, CA 92867-6006 | 2007-03-14 |
| 1154327922 | Hairston & Daley Physical Therapy, A Professional Corporation | Physical Therapist | 1178 N Tustin St, Orange, CA 92867-6006 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197618 | Family First Healthcare | Home Health | 2712 E Blueridge Ave, Orange, CA 92867 | 2020-09-08 |
| 1568924793 | Denise Giovanazzi Weinberg | Nurse Practitioner | 3215 East Abbey Lane, Orange, CA 92867 | 2019-04-05 |
| 1629536701 | Cindy Diaz | Behavioral Analyst | 410 E. Katella, Orange, CA 92867 | 2019-03-07 |
| 1992206940 | Oc Healthy Heart LLC | Internal Medicine | 438 E Katella Ave Suite B, Orange, CA 92867 | 2018-02-26 |
| 1083139059 | Randy Hope | Counselor | 1855 W Katella Ave #150, Orange, CA 92867 | 2017-08-10 |
| 1801319595 | Danielle Collett | Registered Nurse | 1855 N. Katella, 150, Orange, CA 92867 | 2017-07-25 |
| 1023538931 | Mala Leao | Social Worker | 2440 E. Vanowen Ave., Orange, CA 92867 | 2017-06-21 |
| 1184096257 | Renew Acupuncture Clinic | Health Maintenance Organization | 1132 E Katella Avenue Ste. A14, Orange, CA 92867 | 2015-10-28 |
| 1942604913 | Seon Song | Acupuncturist | 1327 E Katella Ave, Orange, CA 92867 | 2014-10-20 |
| 1700298965 | Nazanin Minouei | Physical Therapy Assistant | 1045 N. Tustin Ave, Orange, CA 92867 | 2014-05-22 |
| Find all providers in zip 92867 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735145 | Kevin Howard | Physical Therapist | 240 Indian River Rd Ste B7, Orange, CT 06477-3690 | 2020-09-16 |
| 1114557147 | Joshua Watson | Physical Therapist | 225 N Tustin St, Orange, CA 92867-7718 | 2020-01-17 |
| 1871076315 | Mario Paredes | Physical Therapist | 240 Indian River Rd Ste B7b8, Orange, CT 06477 | 2018-09-11 |
| 1093233215 | Christine Wright | Physical Therapist | 406 S. Schug St, Orange, CA 92869 | 2017-09-07 |
| 1295255958 | Hyundong Kim | Physical Therapist | 2102 Avalon Dr E, Orange, CT 06477-3644 | 2017-06-23 |
| 1558893784 | Harold Henroe Pan | Physical Therapist | 1026 E Chapman Ave Ste B, Orange, CA 92866-2151 | 2017-03-28 |
| 1730620964 | Tina Forsythe | Physical Therapist | 5927 E Creekside Ave, Unit 20, Orange, CA 92869-3186 | 2017-03-20 |
| 1760831796 | Diane Kahler | Physical Therapist | 1026 E Chapman Ave Ste C, Orange, CA 92866-2152 | 2016-06-09 |
| 1851745822 | Jennifer Nitollama | Physical Therapist | 11402 S Church St, Orange, CA 92869-2620 | 2016-04-15 |
| 1457715815 | Connie Bowin | Physical Therapist | 2330 E Parkside Ave, Orange, CA 92867-4040 | 2016-04-11 |
| Find all providers in ORANGE | ||||
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| 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.