SANDRA LAUREEN WAGNER (NPI# 1467974659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467974659 |
| Entity Type | Individual |
| Full Name | SANDRA LAUREEN WAGNER |
| Credential | PHYSICAL THERAPIST |
| Practice Address |
30252 Tomas Ste 100 Rancho Santa Margarita CA 92688-2181 |
| Mailing Address |
15004 204th Ave Se Renton WA 98059-8916 |
| Practice Telephone | 9494591658 |
| Practice Fax Number | 9494591667 |
| Mailing Telephone | 2064096854 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982120440 | Sandra Wagner | Hearing Aid Equipment | 8085 Spyglass Hill Road, Viera, FL 32940 | 2017-08-16 |
| 1770106072 | Sandra Wagner | Behavioral Analyst | 1800 S 35th St, Galesburg, MI 49053-9688 | 2020-05-20 |
| 1376888396 | Sandra Renee Wagner | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2012-12-03 |
| 1104155571 | Sandra Wagner | Nurse Practitioner | 9050 N Church Dr, Parma Heights, OH 44130-4701 | 2009-12-15 |
| 1710162300 | Sandra Kay Wagner | Occupational Therapy Assistant | 6131 Ibispark Dr, Lithia, FL 33547-3909 | 2008-01-02 |
| 1952422263 | Sandra Wagner | Registered Nurse | 9 Hanover St, Suite 2, Lebanon, NH 03766-1312 | 2007-04-03 |
| 1922034875 | Sandra M Wagner | Physician Assistant | 101 Manning Dr, Chapel Hill, NC 27514 | 2006-06-23 |
| Street Address |
30252 TOMAS STE 100 |
| City | RANCHO SANTA MARGARITA |
| State | CA |
| Zip Code | 92688-2181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043465487 | Rainbow Kids Achievement Center | Physical Therapist | 30252 Tomas Ste 100, Rancho Santa Margarita, CA 92688-2181 | 2008-11-26 |
| 1376152223 | Melissa Sexton | Behavior Technician | 30252 Tomas Ste 100, Rancho Santa Margarita, CA 92688-2181 | 2020-07-27 |
| 1134759459 | Shelly Berg | Occupational Therapist | 30252 Tomas Ste 100, Rancho Santa Margarita, CA 92688-2181 | 2020-01-26 |
| 1497391569 | Michael Cerfogli | Behavioral Analyst | 30252 Tomas Ste 100, Rancho Santa Margarita, CA 92688-2181 | 2019-11-22 |
| 1740834712 | Melissa Joseph | Speech-Language Pathologist | 30252 Tomas Ste 100, Rancho Santa Margarita, CA 92688-2181 | 2019-07-29 |
| 1033761655 | Lindsey Melland | Speech-Language Pathologist | 30252 Tomas Ste 100, Rancho Santa Margarita, CA 92688-2181 | 2019-07-13 |
| 1609362870 | Patricia Hill | Speech-Language Pathologist | 30252 Tomas Ste 100, Rancho Santa Margarita, CA 92688-2181 | 2018-07-10 |
| 1205322906 | Ekaterini Gatzios | Speech-Language Pathologist | 30252 Tomas Ste 100, Rancho Santa Margarita, CA 92688-2181 | 2018-07-05 |
| 1467956136 | Alexa Kennedy | Occupational Therapist | 30252 Tomas Ste 100, Rancho Santa Margarita, CA 92688-2181 | 2018-03-19 |
| 1679929418 | Mary Elizabeth Hollis | Behavioral Analyst | 30252 Tomas Ste 100, Rancho Santa Margarita, CA 92688-2181 | 2016-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386409 | Julie Soria | Nurse Practitioner | 22032 El Paso, #130, Rancho Santa Margarita, CA 92688 | 2020-08-14 |
| 1639735368 | Ballard King Dental Partnership | Dentist | 29819 Santa Margarita Parkway, Suite #200, Rancho Santa Margarita, CA 92688 | 2019-05-17 |
| 1033774435 | Jenalie Michelle Mccollam | Counselor | 5 Calle Espolon, Rancho Santa Margarita, CA 92688 | 2019-05-01 |
| 1750825006 | Helen Schuppe | Speech-Language Pathologist | 5 Acorn Ridge, Rancho Santa Margarita, CA 92688 | 2016-12-06 |
| 1881054971 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 30505a Avenida De Las Flores, Santa Margarita Marketplace, Rancho Santa Margarita, CA 92688 | 2016-03-02 |
| 1043687247 | Christopher Chang | Chiropractor | 23252 Arroyo Vista, Rancho Santa Margarita, CA 92688 | 2015-08-24 |
| 1265721104 | Robert Edwin Meister | Dentist | 29881 Aventura, Ste F, Rancho Santa Margarita, CA 92688 | 2011-03-31 |
| 1295056190 | Galenix Pharmacy Inc | Pharmacy | 29851 Avetura, Ste J-1, Rancho Santa Margarita, CA 92688 | 2010-06-15 |
| 1336468370 | Susan Stivers | Counselor | 22431 Antonio Parkway, Suite B160-694, Rancho Santa Margarita, CA 92688 | 2010-05-28 |
| 1710205505 | Jordan Pham Dental Corp | Point of Service | 22521 Avenida Empresa Suite 102, Rancho Santa Margarita, CA 92688 | 2010-05-04 |
| Find all providers in zip 92688 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033354634 | Infant Developmental Services | Physical Therapist | 20 Arribo, Rancho Santa Margarita, CA 92688 | 2008-12-10 |
| 1043465487 | Rainbow Kids Achievement Center | Physical Therapist | 30252 Tomas Ste 100, Rancho Santa Margarita, CA 92688-2181 | 2008-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745233 | Tejal Shah Chokshi | Physical Therapist | 7425 La Mantanza, San Diego, CA 92127-3636 | 2020-09-16 |
| 1487277992 | Katherine Anne Zweier | Physical Therapist | 4646 Van Dyke Ave, San Diego, CA 92116-4842 | 2020-05-19 |
| 1184246621 | Achieving Milestones Pediatric Therapy, Inc | Physical Therapist | 221 E Glenoaks Blvd # 225a, Glendale, CA 91207-2085 | 2020-05-07 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1215585690 | Maggie Christine Ridenhour | Physical Therapist | 1541 Old Bayshore Hwy, Burlingame, CA 94010-1602 | 2019-08-29 |
| 1477100162 | Fasia Ramirez | Physical Therapist | 35510 Schuber Ln, Temecula, CA 92592-8125 | 2019-08-19 |
| 1689229841 | Jaclyn Rymer | Physical Therapist | 1000 S Fremont Ave Bldg 10n10220, Alhambra, CA 91803 | 2019-08-05 |
| 1649836669 | Karin Stohn | Physical Therapist | 100 Mcgivern Way, Santa Cruz, CA 95060-9300 | 2019-05-15 |
| 1376108597 | Karen Dzierski Cruise | Physical Therapist | 10860 Topanga Canyon Blvd, Chatsworth, CA 91311-1350 | 2019-05-02 |
| 1326511064 | Lissett Rojas | Physical Therapist | 855 N Lark Ellen Ave Ste L, West Covina, CA 91791-1099 | 2019-01-04 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO SANTA MARGARITA |
| Zip Code | 92688 |
Please comment or provide details below to improve the information on SANDRA LAUREEN 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.