MRS. JILL KAREN WAGNER (NPI# 1518290360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518290360 |
| Entity Type | Individual |
| Full Name | MRS. JILL KAREN WAGNER |
| Credential | PT |
| Practice Address |
450 W Broad St Suite 214-a Falls Church VA 22046-3340 |
| Practice Telephone | 7036066213 |
| Practice Fax Number | 7036200843 |
| Mailing Telephone | 7036066213 |
| Mailing Fax Number | 7036200843 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
0105005106 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568638351 | Jill Wagner | Registered Nurse | 154 N 15th Ave, West Bend, WI 53095-3023 | 2008-05-01 |
| 1487119343 | Jill Wagner | Nurse's Aide | 7710 W Ih 10, San Antonio, TX 78230-4711 | 2019-02-05 |
| 1992294987 | Jill Marie Wagner | Health Educator | 704 1st Dr Nw, Austin, MN 55912-3099 | 2018-05-04 |
| 1043724206 | Jill Christine Wagner | Social Worker | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-11-27 |
| 1932596582 | Jill Wagner | Pharmacist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2015-04-22 |
| 1699881425 | Jill M Wagner | Family Medicine | 9252 N Green Bay Rd, Brown Deer, WI 53209 | 2006-08-22 |
| 1023097516 | Jill M Wagner | Obstetrics & Gynecology | 306 Westwood Ave, Suite 501, High Point, NC 27262-4341 | 2006-01-12 |
| Street Address |
450 W BROAD ST SUITE 214-A |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22046-3340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669435863 | Melissa Anne Mimidis | Speech-Language Pathologist | 450 W Broad St, Suite 215, Falls Church, VA 22046-3340 | 2006-04-10 |
| 1467909259 | Nancy Branberg | Physical Therapist | 450 W Broad St, Suite 417, Falls Church, VA 22046-3340 | 2016-09-08 |
| 1003361569 | Ashley Bridgford | Speech-Language Pathologist | 450 W Broad St, Falls Church, VA 22046-3340 | 2016-08-24 |
| 1841745486 | Rachel Bewley Hicks | Speech-Language Pathologist | 450 W Broad St, Suite 215, Falls Church, VA 22046-3340 | 2016-08-24 |
| 1629410493 | Elizabeth Kathryn Golem | Acupuncturist | 450 W Broad St, Suite #319, Falls Church, VA 22046-3340 | 2013-07-22 |
| 1518307750 | Kirsten Metzger Gilbert | Speech-Language Pathologist | 450 W Broad St, #215, Falls Church, VA 22046-3340 | 2013-07-02 |
| 1902178817 | Medical Center of Northern Virginia | Clinic/Center | 450 W Broad St, Suite 420, Falls Church, VA 22046-3340 | 2012-02-08 |
| 1427228931 | Metzger Gilbert Childrens Speech | Speech-Language Pathologist | 450 W Broad St, #215, Falls Church, VA 22046-3340 | 2008-03-11 |
| 1194995084 | Drs. Love and Miller, P.C. | Dentist | 450 W Broad St, Suite 440, Falls Church, VA 22046-3340 | 2008-03-06 |
| 1598933434 | Broad Street Pharmacy Inc | Pharmacy | 450 W Broad St, Ste 120 B, Falls Church, VA 22046-3340 | 2008-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735794 | Megan Katherine Hassan | Speech-Language Pathologist | 803 West Broad Street, Suite 100, Falls Church, VA 22046 | 2019-11-25 |
| 1205481173 | Michael William Wirtz | Physical Therapist | 510 South Washington Street, Ste. A, Falls Church, VA 22046 | 2019-08-07 |
| 1629636568 | Meaghan A Souza | Physical Therapist | 510 S Washington Street, Suite A, Falls Church, VA 22046 | 2019-06-05 |
| 1619478963 | Teresa Rosas | Dentist | Blvd Fundadores #8417-21, Tijuana, BAJA CALIFORNIA 22046 | 2018-02-22 |
| 1174022974 | Bio Medical Center | Radiology | 3170 General Ferreira, Colonia Madero Sur, Tijuana, BAJA CALIFORNIA 22046 | 2018-02-07 |
| 1558875385 | M & R Taxi Company, Inc. | Non-emergency Medical Transport (VAN) | 1115 West Broad St., Falls Church, VA 22046 | 2017-12-01 |
| 1356860829 | Neurology | Neuromusculoskeletal Medicine & OMM | 701 W Broad St Ste 214, Falls Church, VA 22046 | 2017-09-15 |
| 1184140501 | Christopher Grivas | Chiropractor | 510 W Annandale Road, Suite 300, Falls Church, VA 22046 | 2017-08-17 |
| 1831562719 | Strategy Anesthesia Virginia, LLC | Anesthesiology | 502 W Broad Street (route 7), Falls Church, VA 22046 | 2015-11-02 |
| 1851762025 | Edward A Stern | Registered Nurse | 201 N Washington Street, C/o Kaiser Permanente, Falls Church, VA 22046 | 2015-10-14 |
| Find all providers in zip 22046 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336622257 | Progressive Pediatric Therapy | Physical Therapist | 150 S. Washington St., #203, Falls Church, VA 22124 | 2018-09-07 |
| 1467755074 | Stefanie J Morici | Physical Therapist | 6054 Wooten Dr, Falls Church, VA 22044-2625 | 2010-12-21 |
| 1710053194 | Kathi M Highfield | Physical Therapist | 7143 Shreve Rd, Achieve Beyond, Falls Church, VA 22043 | 2006-11-28 |
| 1649580242 | Kathryn W Grassmeyer | Physical Therapist | 6521 Arlington Blvd, Suite 312, Falls Church, VA 22042 | 2010-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790334175 | Elizabeth Huff | Physical Therapist | 601 S Carlin Springs Rd Ste 505, Arlington, VA 22204-1044 | 2019-09-09 |
| 1851946503 | Courtney E Marin | Physical Therapist | 2235 Tacketts Mill Dr Bldg C, Woodbridge, VA 22192-3036 | 2019-08-08 |
| 1912475419 | Kelly Laughlin | Physical Therapist | 3544 36th Rd N, Arlington, VA 22207-4817 | 2018-11-02 |
| 1013413699 | Melissa Anne Casey | Physical Therapist | 778 Springsbury Rd, Berryville, VA 22611-1513 | 2018-04-03 |
| 1316443336 | Rhea Amber Whitlock | Physical Therapist | 615 East St, Blackstone, VA 23824-2231 | 2018-03-30 |
| 1821507062 | Jennifer Lewis | Physical Therapist | 6856 Richmond Highway, Alexandria, VA 22306 | 2017-09-20 |
| 1144758889 | Kristen Michelle Mcbee | Physical Therapist | 2781 Jefferson Davis Hwy, Stafford, VA 22554-8322 | 2017-05-25 |
| 1316313588 | Elizabeth Anne Brewer | Physical Therapist | 23 Curle Road, Hampton, VA 23669 | 2015-08-11 |
| 1912300377 | Kiley Coleman Gibbs | Physical Therapist | 21631 Ridgetop Cir Ste 225a, Sterling, VA 20166 | 2014-09-30 |
| 1003244468 | Kathleen Wright | Physical Therapist | 3811 Fauquier Ave, Richmond, VA 23227-4035 | 2013-10-23 |
| Find all providers with the same taxonomy | ||||
| City | FALLS CHURCH |
| Zip Code | 22046 |
Please comment or provide details below to improve the information on MRS. JILL KAREN 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.