SAMUEL WAAGEN (NPI# 1790325355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790325355 |
| Entity Type | Individual |
| Full Name | SAMUEL WAAGEN |
| Credential | PT |
| Practice Address |
611 Watkins Centre Pkwy Midlothian VA 23114-4404 |
| Practice Telephone | 8043258822 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
611 WATKINS CENTRE PKWY |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23114-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952412058 | Daran G Glenn | Internal Medicine | 611 Watkins Centre Pkwy, Ste. 200, Midlothian, VA 23114-4404 | 2006-08-31 |
| 1164062725 | Tabatha Chaffee | Physical Therapy Assistant | 611 Watkins Centre Pkwy, Midlothian, VA 23114-4404 | 2020-01-13 |
| 1861032427 | Shawn Van Decker | Physical Medicine & Rehabilitation | 611 Watkins Centre Pkwy, Midlothian, VA 23114-4404 | 2020-01-13 |
| 1417597956 | Robyn Willhide Lowry | Physical Medicine & Rehabilitation | 611 Watkins Centre Pkwy, Midlothian, VA 23114-4404 | 2020-01-13 |
| 1326414558 | Synergyhealth Foot & Ankle Associates, Pllc | Podiatrist | 611 Watkins Centre Pkwy, Sute 170, Midlothian, VA 23114-4404 | 2015-08-11 |
| 1780071084 | Leigh Hanley | Nurse Practitioner | 611 Watkins Centre Pkwy, Ste. 200, Midlothian, VA 23114-4404 | 2015-04-24 |
| 1639431794 | Luke Thomas Parkinson Vetti | Podiatrist | 611 Watkins Centre Pkwy, Suite 170, Midlothian, VA 23114-4404 | 2012-06-13 |
| 1972860401 | Ushita Khageshchandra Patel | Podiatrist | 611 Watkins Centre Pkwy, Suite 170, Midlothian, VA 23114-4404 | 2012-04-22 |
| 1669747903 | Jeremy Ravussin | Internal Medicine | 611 Watkins Centre Pkwy, Suite 250, Midlothian, VA 23114-4404 | 2012-03-20 |
| 1124396981 | Eye Surgeons of Richmond, Inc. | Optometrist | 611 Watkins Centre Pkwy, Suite 100, Midlothian, VA 23114-4404 | 2011-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122162 | Jotava | In Home Supportive Care | 1607 Titanium Avenue, 202, Midlothian, VA 23114 | 2020-10-20 |
| 1104393735 | Shelley Hurwitz | Occupational Therapist | 13800 Bon Secours Drive, Midlothian, VA 23114 | 2018-11-01 |
| 1316412182 | Snehal Manmeet Mahajan | Physical Therapist | 13800 Bon Secours Dr., Midlothian, VA 23114 | 2018-10-09 |
| 1154814796 | Bon Secours St Francis Medical Center Inc. | Clinic/Center | 13700 St Francis Blvd Ste 105, Midlothian, VA 23114 | 2018-06-08 |
| 1023516630 | Leah Reed | Occupational Therapist | 13800 Bon Secours Dr, Midlothian, VA 23114 | 2018-01-29 |
| 1689122012 | Momentum Counseling and Wellness LLC | Social Worker | 431 Walton Park Road, Midlothian, VA 23114 | 2016-09-14 |
| 1750765996 | Arlene Roper | Physical Therapy Assistant | 1700 Redbourne Ct, Apt 101, Midlothian, VA 23114 | 2015-07-17 |
| 1518353937 | Tamaika Floy | Podiatrist | 611 Watkins Centre Pkwy Ste 170, Midlothian, VA 23114 | 2015-04-13 |
| 1760790489 | Markita Wolf | Psychologist | 831 Grove Rd Ste C, Midlothian, VA 23114 | 2010-09-15 |
| 1306153119 | Jacinda Beth Chaisson | Physical Therapist | 13700 St. Francis Blvd., Suite 103, Midlothian, VA 23114 | 2010-09-01 |
| Find all providers in zip 23114 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710309893 | Amanda Walker | Physical Therapist | 13700 St Francis Blvd, Midlothian, VA 23114-3222 | 2014-01-09 |
| 1063697522 | Kevin Bruce Ford | Physical Therapist | 5001 W Village Green Dr, Suite 203, Midlothian, VA 23112-4801 | 2008-01-03 |
| 1598861395 | Virginia Center for Spine & Sports Therapy LLC | Physical Therapist | 2820 Waterford Lake Dr, Suite 103, Midlothian, VA 23112-3994 | 2006-09-16 |
| 1407855513 | Martin Henninger Dominguez | Physical Therapist | 2820 Waterford Lake Dr Ste 103, Midlothian, VA 23112-3994 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122717 | Art of Motion Physical Therapy LLC | Physical Therapist | 161 Fort Evans Rd Ne Ste 103, Leesburg, VA 20176-3369 | 2020-10-24 |
| 1982242491 | Derek Roy Finn | Physical Therapist | 2865 Lynnhaven Dr Ste C3, Virginia Beach, VA 23451-1544 | 2019-12-16 |
| 1235773771 | Anne Wuhrer | Physical Therapist | 8001 Braddock Rd Ste 100, Springfield, VA 22151-2110 | 2019-10-28 |
| 1134779077 | Adams Performance Physical Therapy, Inc. | Physical Therapist | 3004 Impala Pl, Henrico, VA 23228-4206 | 2019-09-12 |
| 1710454475 | Performance Healthcare, P.C. | Physical Therapist | 3603 Brambleton Ave Ste A, Roanoke, VA 24018-3600 | 2018-10-30 |
| 1720563216 | Aoife Bourke | Physical Therapist | 12203 Leims Dr, Quantico, VA 22134-2088 | 2018-10-01 |
| 1144701954 | Taylor Blattenberger | Physical Therapist | 24585 Stone Carver Dr # 275, Aldie, VA 20105-2798 | 2018-08-29 |
| 1477034577 | Erica Wharton Osimani | Physical Therapist | 1340 Gaskins Rd, Henrico, VA 23238-4919 | 2018-08-27 |
| 1124514351 | Matthew James Hillsinger | Physical Therapist | 410 S Maple Ave # 100, Falls Church, VA 22046-4246 | 2018-07-11 |
| 1285127365 | Cody Michael Schellhaas | Physical Therapist | 7400 Beaufont Springs Dr Ste 520, North Chesterfield, VA 23225-5514 | 2018-06-12 |
| Find all providers with the same taxonomy | ||||
| City | MIDLOTHIAN |
| Zip Code | 23114 |
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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.