MRS. MARY JO ANNE WAGNER (NPI# 1750599841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750599841 |
| Entity Type | Individual |
| Full Name | MRS. MARY JO ANNE WAGNER |
| Credential | MARY JO WAGNER P.T. |
| Practice Address |
9717 Landmark Parkway Dr #216 Saint Louis MO 63127-1628 |
| Mailing Address |
1518 State Route 156 Waterloo IL 62298-6104 |
| Practice Telephone | 3148494120 |
| Practice Fax Number | 3148492540 |
| Mailing Telephone | 6189352323 |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 01942 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9717 LANDMARK PARKWAY DR #216 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63127-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630061 | Erin Scott Gardner | Dermatology | 9717 Landmark Parkway Dr, Ste 115, Saint Louis, MO 63127-1628 | 2005-06-25 |
| 1801430442 | Sophai Thach | Nurse Practitioner | 9717 Landmark Parkway Dr, Saint Louis, MO 63127-1628 | 2019-11-06 |
| 1588110480 | Derek Christopher Braddix | Nurse Practitioner | 9717 Landmark Parkway Dr, Saint Louis, MO 63127-1628 | 2016-08-30 |
| 1609242619 | The Health & Wellness Center for Men, LLC | Nurse Practitioner | 9717 Landmark Parkway Dr, Suite 115, Saint Louis, MO 63127-1628 | 2015-08-13 |
| 1568796514 | Victoria Dean Pannett | Counselor | 9717 Landmark Parkway Dr, Suite 208, Saint Louis, MO 63127-1628 | 2009-09-23 |
| 1982897450 | Aesthetic Dermatologic Surgery | Dermatology | 9717 Landmark Parkway Dr, Suite 115, Saint Louis, MO 63127-1628 | 2007-08-19 |
| 1740405547 | Thomas E Gaegiula, D.c., P.C. | Chiropractor | 9717 Landmark Parkway Dr, Suite 216, Saint Louis, MO 63127-1628 | 2007-04-16 |
| 1720101215 | Shawn P. Reiter D.c.p.c. | Chiropractor | 9717 Landmark Parkway Dr, Suite 216, Saint Louis, MO 63127-1628 | 2007-04-09 |
| 1457487100 | Shawn Reiter | Chiropractor | 9717 Landmark Parkway Dr, 216, Saint Louis, MO 63127-1628 | 2007-02-26 |
| 1215072640 | Thomas Edward Gargiula | Chiropractor | 9717 Landmark Parkway Dr, Suite 216, Saint Louis, MO 63127-1628 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730698374 | Advanced Surgical Center of Sunset Hills LLC | Clinic/Center | 4594 S Lindbergh Blvd, Saint Louis, MO 63127 | 2017-09-27 |
| 1811382179 | Robert Paul Hintze | Dentist | 3555 Sunset Office Dr Ste 210, Saint Louis, MO 63127 | 2015-04-03 |
| 1639560782 | Bwell Pharmacy LLC | Pharmacy | 12128 Gravois Road, St.louis, MO 63127 | 2015-02-11 |
| 1043612773 | Braham Dev Dewan | Internal Medicine | 9917 Grandview Forest Court, Saint Louis, MO 63127 | 2014-09-25 |
| 1639518673 | Jonathan Yoon | Otolaryngology | 9701 Landmark Parkway Dr Ste 201, Saint Louis, MO 63127 | 2013-06-24 |
| 1639515315 | Kathleen Mary Lowe | Internal Medicine | 3844 S Lindbergh Blvd Ste 120, Saint Louis, MO 63127 | 2013-05-21 |
| 1366782088 | Sunset Hills Family Chiropractic LLC | Clinic/Center | 4600 South Lindbergh Ave, Suite 3, St. Louis, MO 63127 | 2013-02-15 |
| 1063743300 | John Ralph Firth | Dentist | 3890 So. Lindbergh Blvd., Suite 115, Sunset Hills, MO 63127 | 2010-01-27 |
| 1174762850 | Antonio I Longrais | Dentist | 4600 S. Lindbeigh 63127, St. Louis, MO 63127 | 2009-02-19 |
| 1447439716 | George D Bankhead Dds Ms PC | Dentist | 3890 S Lindbergh Blvd, Suite 115, Sunset Hills, MO 63127 | 2007-11-02 |
| Find all providers in zip 63127 | ||||
| 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 |
|---|---|---|---|---|
| 1700484383 | Ryan Luis Adkins | Physical Therapist | 4444 Forest Park Ave Unit 1210, Saint Louis, MO 63108-2212 | 2020-10-15 |
| 1548867583 | Ryan Joseph Terstriep | Physical Therapist | 12639 Old Tesson Rd Ste 120, Saint Louis, MO 63128-2786 | 2020-10-02 |
| 1588261754 | Laurie Susan Altobella | Physical Therapist | 9082 Fernald Dr, Saint Louis, MO 63123-2005 | 2020-10-01 |
| 1720694607 | Rebecca Won | Physical Therapist | 2705 Dougherty Ferry Rd Ste 104, Saint Louis, MO 63122-3372 | 2020-09-16 |
| 1417562133 | Joseph Edward Zacher | Physical Therapist | 6027 Eitman Ave, Saint Louis, MO 63139-2810 | 2020-09-10 |
| 1114538097 | Prorehab PC | Physical Therapist | 3156 Telegraph Rd, Saint Louis, MO 63125-5500 | 2020-08-13 |
| 1710597547 | Alexander C Butler | Physical Therapist | 9560 Watson Rd Ste D, Saint Louis, MO 63126-1541 | 2020-08-06 |
| 1215560834 | Jerline Tuggle | Physical Therapist | 1310 Papin St Ste 109, Saint Louis, MO 63103-3132 | 2020-02-21 |
| 1639725088 | Shelby Ann Kroeger | Physical Therapist | 29 Ronnie's Plaza, Saint Louis, MO 63126 | 2019-08-12 |
| 1023661915 | Connor Pratt | Physical Therapist | 635 Locust St Unit 116, Saint Louis, MO 63101-1700 | 2019-07-19 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63127 |
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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.