MATTHEW WAGNER (NPI# 1043413859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043413859 |
| Entity Type | Individual |
| Full Name | MATTHEW WAGNER |
| Credential | P.T. |
| Practice Address |
2150 Stadium Drive Boulder CO 80309-1361 |
| Mailing Address |
1514 Cedarwood Dr Longmont CO 80504-8785 |
| Practice Telephone | 3033159900 |
| Practice Fax Number | 3033159902 |
| Mailing Telephone | 2078316697 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PTL.0010633 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 029375 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1538534334 | Matthew Wagner | Acupuncturist | 4513 Vernon Blvd, Madison, WI 53705-4993 | 2015-12-04 |
| 1053749168 | Matthew Wagner | Counselor | 545 N Mcdonough St Ste 212, Decatur, GA 30030-3310 | 2013-10-29 |
| 1114198751 | Matthew Robert Wagner | Orthopaedic Surgery | 1500 Route 112 Bldg 2c, Port Jefferson Station, NY 11776-8055 | 2008-03-21 |
| 1700415965 | Matthew Anthony Wagner | Student in an Organized Health Care Education/Training Program | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2020-04-08 |
| 1376177048 | Matthew Gary Wagner | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2020-03-02 |
| 1235613738 | Matthew James Wagner | Pharmacist | 17213 Cole Rd, Hagerstown, MD 21740-6981 | 2018-09-20 |
| 1164918199 | Matthew Steven Wagner | Internal Medicine | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2018-07-02 |
| 1609371244 | Matthew Anthony Wagner | Student in an Organized Health Care Education/Training Program | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2018-03-26 |
| 1669994752 | Matthew Wagner | Behavior Technician | 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 | 2017-07-11 |
| Street Address |
2150 STADIUM DRIVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80309-1361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265496194 | Kimberly R Detwiler | Specialist/Technologist | 2150 Stadium Drive, Boulder, CO 80309-7059 | 2006-04-17 |
| 1750996559 | Kathryn Reid Martin | Physical Therapist | 2150 Stadium Drive, Boulder, CO 80309-0001 | 2020-09-09 |
| 1447897335 | Boulder Community Health | Clinical Medical Laboratory | 2150 Stadium Drive, Boulder, CO 80309-0001 | 2019-12-10 |
| 1174179915 | Boulder Community Health | Clinic/Center | 2150 Stadium Drive, Boulder, CO 80309-0001 | 2019-08-16 |
| 1871058545 | Connor Joseph Speck | Specialist/Technologist | 2150 Stadium Drive, Boulder, CO 80309-0001 | 2019-02-06 |
| 1114435252 | Inigo San-millan | Rehabilitation Practitioner | 2150 Stadium Drive, Boulder, CO 80309-0001 | 2018-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053887331 | Christina Riseman | Speech-Language Pathologist | Slhc, 2501 Kittredge Loop Rd., 409 Ucb, Boulder, CO 80309 | 2018-10-15 |
| 1942784228 | Janae Elise Bell | Specialist/Technologist | Cu Athletics 368 Ucb Dal Ward Center - 2100 Stadium Dr, Boulder, CO 80309 | 2018-09-21 |
| 1669856696 | Kathryn Blau | Psychologist | Wardenburg Health Services 119 Ucb, Boulder, CO 80309 | 2015-07-20 |
| 1407142623 | John D. Breck | Family Medicine | 1900 Wardenburg Way, Boulder, CO 80309 | 2011-06-27 |
| 1912217431 | Paul Calvert | Pharmacist | Campus Box 119, Boulder, CO 80309 | 2010-10-18 |
| 1568798536 | Brittany L Devoge | Pharmacist | 1800 Wardenburg Dr, Apothecary At Wardenburg Health Center, Boulder, CO 80309 | 2009-10-27 |
| 1295968949 | Mya M Bethune | Counselor | 104 Ucb, Center for Community S440, Boulder, CO 80309 | 2009-08-28 |
| 1245479377 | Susan E Mead | Pharmacist | 18th and Wardenburg Drive, University of Colorado, Boulder, CO 80309 | 2009-02-12 |
| 1881681120 | Anne Elizabeth Miller | Nurse Practitioner | 1900 Wardenburg Dr., 119 Ucb, Boulder, CO 80309 | 2005-10-03 |
| 1720446222 | University Physicians Incorporated | Orthopaedic Surgery | 2150 Stadium Dr, 2nd Floor, Boulder, CO 80309 | 2016-01-29 |
| Find all providers in zip 80309 | ||||
| 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 |
|---|---|---|---|---|
| 1639708365 | Melissa Darnell | Physical Therapist | 3980 Caddo Pkwy, Boulder, CO 80303-3504 | 2020-04-04 |
| 1306473483 | Erin Mang | Physical Therapist | 785 32nd St, Boulder, CO 80303-2403 | 2020-03-26 |
| 1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
| 1689163776 | Hali Jones | Physical Therapist | 695 S Broadway St, Boulder, CO 80305-5969 | 2018-05-04 |
| 1811436280 | Aikaterini Fotiou | Physical Therapist | 880 W Moorhead Cir Apt 1h, Boulder, CO 80305-6134 | 2017-02-18 |
| 1780122978 | Christine Bell | Physical Therapist | 900 Quince Ave, Boulder, CO 80304-0703 | 2017-02-07 |
| 1336590561 | Robert Louis Kershner | Physical Therapist | 4410 Hastings Dr, Boulder, CO 80305-6615 | 2016-06-29 |
| 1942650338 | Hannah Doenlen | Physical Therapist | 4557 Tanglewood Trl, Boulder, CO 80301-3924 | 2016-06-16 |
| 1851746655 | Erica Parise | Physical Therapist | 4955 Moorhead Ave, Apt 2, Boulder, CO 80305-5544 | 2016-04-28 |
| 1790144632 | Krupaben Kaneria | Physical Therapist | 6255 Habitat Dr, Apt 3026, Boulder, CO 80301-3216 | 2016-02-21 |
| Find all providers in BOULDER | ||||
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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.