JEFFREY MARK WAGNER (NPI# 1578798914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578798914 |
| Entity Type | Individual |
| Full Name | JEFFREY MARK WAGNER |
| Credential | P.T., C.H.T. |
| Practice Address |
1430 Esplanade Suite 8 Chico CA 95926-3366 |
| Practice Telephone | 5308940221 |
| Practice Fax Number | 5308940285 |
| Mailing Telephone | 5308940221 |
| Mailing Fax Number | 5308940285 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT17374 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881151876 | Jeffrey Frank Wagner | Pharmacist | 6310 Health Park Way Ste 130, Lakewood Ranch, FL 34202-5177 | 2019-02-26 |
| 1760521843 | Jeffrey M Wagner | Psychologist | 500 Market Street 1-g, Portsmouth, NH 03801 | 2007-02-06 |
| 1437244050 | Jeffrey Todd Wagner | Physical Therapist | 1 Gateway Drive, Wading River, NY 11792 | 2006-10-03 |
| 1891744967 | Jeffrey Douglas Wagner | Physician Assistant | 18 Ronald Ln, Sayville, NY 11782-1622 | 2006-05-08 |
| 1881684207 | Jeffrey M Wagner | Allergy & Immunology | 98 Willow Ln, Spartanburg, SC 29307-1357 | 2005-10-26 |
| 1881690790 | Jeffrey David Wagner | Surgery | 8040 Clearvista Pkwy, Ste 570, Indianapolis, IN 46256 | 2005-06-24 |
| 1255894481 | Jeffrey Ryan Wagner | Student in an Organized Health Care Education/Training Program | 2425 Geary Blvd, San Francisco, CA 94115-3358 | 2019-04-14 |
| 1003312117 | Jeffrey Wagner | Clinical Exercise Physiologist | 3525 E Louise Dr, Meridian, ID 83642-6302 | 2018-04-05 |
| 1023552114 | Jeffrey David Wagner | Nurse Practitioner | 3303 Sw Bond Ave, Portland, OR 97239 | 2016-12-08 |
| 1568624187 | Jeffrey G Wagner | Family Medicine | 9280 W Sunset Rd Ste 200, Las Vegas, NV 89148 | 2008-06-25 |
| Street Address |
1430 ESPLANADE SUITE 8 |
| City | CHICO |
| State | CA |
| Zip Code | 95926-3366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054279 | Paul Wassermann | Pediatrics | 1430 Esplanade, Ste 5, Chico, CA 95926-3366 | 2005-06-27 |
| 1013105980 | David L. Valponi | Physical Therapist | 1430 Esplanade, Suite 8, Chico, CA 95926-3366 | 2007-10-04 |
| 1629277892 | Ronald Mark Becker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1430 Esplanade, Suite No 10, Chico, CA 95926 | 2007-07-17 |
| 1053523423 | Dean T. Mott | Marriage & Family Therapist | 1430 Esplanade, Suite 17, Chico, CA 95926-3366 | 2007-05-05 |
| 1104940055 | Janice Raye Gagerman | Social Worker | 1430 Esplanade, Suite 17-c, Chico, CA 95926-3366 | 2007-03-18 |
| 1912050634 | Thomas B Weinrich | Dentist | 1430 Esplanade, #2, Chico, CA 95926 | 2007-01-18 |
| 1417049362 | Anne Warner | Marriage & Family Therapist | 1430 Esplanade, Ste 17, Chico, CA 95926 | 2006-09-29 |
| 1861583569 | Amber L. Palmer | Marriage & Family Therapist | 1430 Esplanade, Suite 15, Chico, CA 95926-3366 | 2006-09-27 |
| 1083717607 | Valponi&wagner Physical Therapy, Inc | Clinic/Center | 1430 Esplanade, #8, Chico, CA 95926-3366 | 2006-09-07 |
| 1710090162 | Joseph T Brooks | Obstetrics & Gynecology | 1430 Esplanade, No 3, Chico, CA 95926 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| 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 |
|---|---|---|---|---|
| 1083108633 | Katherine Lee Hrezo Daniels | Physical Therapist | 3236 Tinker Creek Way, Chico, CA 95973-9554 | 2018-06-18 |
| 1134512494 | Noelle Righter Freer | Physical Therapist | 4211 Michelle Ct, Chico, CA 95973-7646 | 2015-03-11 |
| 1801298351 | Amy Hirst | Physical Therapist | 2623 Forest Ave Ste 130, Chico, CA 95928-4392 | 2014-09-16 |
| 1952647786 | Corinne E Cooley | Physical Therapist | 1390 E 9th St, Suite 190, Chico, CA 95928-5966 | 2012-12-26 |
| 1316211857 | O Physical Therapy, Inc. | Physical Therapist | 1293 E 1st Ave Ste B, Chico, CA 95926-1548 | 2012-03-01 |
| 1760798060 | Cindy Renee Richards | Physical Therapist | 2381 Ritchie Cir, Chico, CA 95926-5305 | 2010-08-24 |
| 1679809891 | Rachael Malene Slater | Physical Therapist | 101 Raley Blvd Ste 102, Chico, CA 95928-8352 | 2009-10-22 |
| 1811136831 | Tyler Robert Honeyman Sr. | Physical Therapist | 375 Cohasset Rd., Chico, CA 95926 | 2009-02-14 |
| 1558533224 | Rex Alan Holland | Physical Therapist | 1087 Honey Run Rd, Chico, CA 95928 | 2008-04-02 |
| 1841488558 | Anthony Joseph Cardenas | Physical Therapist | #4 Springbrook Ct., Chico, CA 95926 | 2007-10-09 |
| Find all providers in CHICO | ||||
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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.