MRS. KELLY DANIELLE WAGNER (NPI# 1881925592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881925592 |
| Entity Type | Individual |
| Full Name | MRS. KELLY DANIELLE WAGNER |
| Credential | PTA |
| Practice Address |
226 Fish Hall Rd Brunswick GA 31523-7405 |
| Practice Telephone | 6786877390 |
| Mailing Telephone | 6786877390 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2015-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA001543 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013570746 | Kelly Susan Wagner | Speech-Language Pathologist | 8902 Old Harford Rd, Baltimore, MD 21234-2646 | 2019-04-18 |
| 1356808455 | Kelly Mcmahon Wagner | Social Worker | 4701 Greenspring Ave, Baltimore, MD 21209-4704 | 2019-02-25 |
| 1659744316 | Kelly Ann Wagner | Nurse Practitioner | 10410 Abercorn Expressway, Savannah, GA 31419 | 2015-11-03 |
| 1659612745 | Kelly Ann Wagner | Specialist | 727 Carmen Dr, Norristown, PA 19401-3545 | 2013-03-14 |
| 1407180268 | Kelly Ann Wagner | Licensed Practical Nurse | 1143 Vogt Dr Apt 14, West Bend, WI 53095-5505 | 2009-09-28 |
| 1295288629 | Kelly Wagner | Dietitian, Registered | 200 Hawkins Dr, Food and Nutrition Services, W146 Gh, Iowa City, IA 52242-1009 | 2016-08-02 |
| 1154776334 | Kelly Wagner | Student in an Organized Health Care Education/Training Program | 100 High St, C 378, Buffalo, NY 14203-1126 | 2016-04-26 |
| 1346613205 | Kelly Wagner | Naturopath | 185 Tilley Dr, Suite #51, South Burlington, VT 05403-4484 | 2015-11-01 |
| 1932510831 | Kelly Wagner | Pharmacist | 3360 Tittabawassee Rd, Saginaw, MI 48604-9453 | 2014-05-13 |
| 1235562307 | Kelly Anne Wagner | Speech-Language Pathologist | 331 E Park St, Weiser, ID 83672-2053 | 2013-08-13 |
| Street Address |
226 FISH HALL RD |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31523-7405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154813012 | Curtis Lee Crews Jr. | Case Manager/Care Coordinator | 38 Crabapple Ln, Brunswick, GA 31523 | 2018-06-05 |
| 1841267606 | Michael C Pinell | Emergency Medicine | 60 Cinema Lane, Suite 250, Saint Simons Island, GA 31523 | 2006-03-01 |
| 1902093057 | J.h. Harvey Co., LLC | Durable Medical Equipment & Medical Supplies | 284 Hyde Park Commons, Brunswick, GA 31523-0000 | 2007-10-02 |
| 1831121870 | Freds Stores of Tennessee Inc | Pharmacy | 5485 New Jesup Hwy, Brunswick, GA 31523-1119 | 2006-07-07 |
| 1780853176 | Courtney Alyn Jonda | Pharmacist | 5421 New Jesup Hwy, Brunswick, GA 31523-1119 | 2008-02-29 |
| 1407231699 | A Royal Fresh Start & Associates Inc. | Counselor | 5420 New Jesup Hwy # 187, Brunswick, GA 31523-1137 | 2015-07-29 |
| 1851494512 | Georgia Cvs Pharmacy LLC | Pharmacy | 5421 New Jesup Hwy, Brunswick, GA 31523-1137 | 2006-09-07 |
| 1669812574 | Paladin Sleep Services LLC | Clinic/Center | 167 Highland Park Cir, Brunswick, GA 31523-1161 | 2013-06-25 |
| 1356778211 | Ergent Med-1 LLC | Clinic/Center | 5248 New Jesup Hwy, Brunswick, GA 31523-1211 | 2013-10-08 |
| 1134690555 | Gabrel Matthew Crabb | Nurse Practitioner | 5248 New Jesup Hwy, Brunswick, GA 31523-1211 | 2018-12-10 |
| Find all providers in zip 31523 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1093295354 | Paige Mchugh | Physical Therapy Assistant | 406 Keyte St, Brunswick, MO 65236-1036 | 2018-08-16 |
| 1558807453 | Kyle Peck | Physical Therapy Assistant | 690 Helen Ave, Brunswick, OH 44212-6265 | 2017-01-16 |
| 1669838934 | Christina Bates | Physical Therapy Assistant | 184 Ratcliffe Rd, Brunswick, GA 31523-7421 | 2016-01-02 |
| 1598995474 | Laureen Katherine Krakowski | Physical Therapy Assistant | 212 Fancy Bluff Cir, Brunswick, GA 31523-6307 | 2009-07-25 |
| 1235341983 | Susan Finette Shaw | Physical Therapy Assistant | 3724 Center Road, Suite 109, Brunswick, OH 44212 | 2007-05-04 |
| 1043320757 | Leslie Jacobs | Physical Therapy Assistant | 12 Industrial Pkwy, Brunswick, ME 04011-7314 | 2006-08-30 |
| 1649890138 | Catherine Marie Helldorfer | Physical Therapy Assistant | 29 Maurice Dr, Brunswick, ME 04011-3270 | 2020-04-24 |
| 1710522420 | Amanda M Balch | Physical Therapy Assistant | 14 Thomas Point Rd, Brunswick, ME 04011-3911 | 2019-11-18 |
| 1922595917 | Marcia Beauchamp | Physical Therapy Assistant | 1106 Fountain Park Cir, Brunswick, GA 31520-4806 | 2018-04-16 |
| 1912393331 | Mackenzie Wheeler | Physical Therapy Assistant | 29 Maurice Dr, Brunswick, ME 04011-3270 | 2015-04-13 |
| Find all providers in BRUNSWICK | ||||
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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.