MRS. DANIELLE REYNOLDS WAGAMON (NPI# 1982019519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982019519 |
| Entity Type | Individual |
| Full Name | MRS. DANIELLE REYNOLDS WAGAMON |
| Credential | DPT |
| Practice Address |
6949 Old Dominion Dr Suite 330 Mclean VA 22101 |
| Mailing Address |
7310 Ritchie Hwy 500 Glen Burnie MD 21061-3099 |
| Practice Telephone | 7038489333 |
| Mailing Telephone | 4107664047 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2015-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 25018 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2305208641 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6949 OLD DOMINION DR SUITE 330 |
| City | MCLEAN |
| State | VA |
| Zip Code | 22101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452630 | Kyle Rose | Counselor | 1360 Beverly Road, Suite 200, Mclean, VA 22101 | 2020-03-16 |
| 1760036206 | Chesapeake Eye Care & Laser Center LLC | Ophthalmology | 6845 Elm Street Ste 250, Mclean, VA 22101 | 2019-08-01 |
| 1326691759 | Vansay Vorrasane | Physical Therapist | 1735 Kirby Road, Mclean, VA 22101 | 2019-07-24 |
| 1912464025 | Veronica Martinez | Occupational Therapist | 1735 Kirby Rd., Mclean, VA 22101 | 2019-02-25 |
| 1114409547 | Katia Julio Salomao | Behavior Technician | 1651 Old Meadow Rd Suite 600, Mclean, VA 22101 | 2018-09-01 |
| 1871086157 | Steeple Run Associates, LLC | In Home Supportive Care | 1499 Chain Bridge Road, Suite 203-a, Mclean, VA 22101 | 2018-06-11 |
| 1982110565 | Jennifer Gallagher Munroe | Counselor | 1485 Chain Bridge Rd Ste 300, Mc Lean, VA 22101 | 2017-12-19 |
| 1497272553 | Alireza Aram | Dentist | 8421 Broad Street, Ste 1319, Mclean, VA 22101 | 2017-08-29 |
| 1104347962 | Louise Parry | Social Worker | 1491 Chain Bridge Road #300, Weaver and Associates, Mclean, VA 22101 | 2017-07-03 |
| 1366979361 | Anita Kathleen Bryce | Social Worker | 1364 Beverly Road, #304, Mclean, VA 22101 | 2017-05-22 |
| Find all providers in zip 22101 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710024286 | Manual Therapy Effects LLC | Physical Therapist | 7900 Westpark Dr, Suite A030, Mclean, VA 22102-4242 | 2007-01-31 |
| 1053433128 | Scott Wagner | Physical Therapist | 6849 Old Dominion Dr, Mclean, VA 22101-3724 | 2007-04-06 |
| 1780702373 | Puja Suresh Charaipotra | Physical Therapist | 6849 Old Dominion Dr, Suite 221, Mclean, VA 22101-3724 | 2007-03-26 |
| 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 | ||||
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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.