ELIZABETH ANN WAGNER (NPI# 1164678504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164678504 |
| Entity Type | Individual |
| Full Name | ELIZABETH ANN WAGNER |
| Credential | DPT |
| Practice Address |
2180 Main St Wailuku HI 96793-1625 |
| Practice Telephone | 8082426464 |
| Practice Fax Number | 8089847432 |
| Mailing Telephone | 8082426464 |
| Mailing Fax Number | 8089847432 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2012-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT-3198 | HI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | PT60035296 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HAWAII LICENSE | PT-3198 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215290465 | Elizabeth Ann Wagner | Music Therapist | 200 E. Curry Rd, 307c, Tempe, AZ 85281 | 2012-06-22 |
| 1104095306 | Elizabeth Forsythe Wagner | Physical Therapist | 11590 W Bernardo Ct Ste 100, San Diego, CA 92127-1624 | 2008-02-21 |
| 1134302565 | Elizabeth Wagner | Nutritionist | 1224 10th St Ste 207, Coronado, CA 92118-3420 | 2007-12-07 |
| 1306062922 | Elizabeth Wagner | Counselor | 105 N Fair St, Champaign, IL 61821 | 2007-04-18 |
| 1285270512 | Elizabeth Clair Wagner | Behavior Technician | 8815 S Tacoma Way Ste 122, Lakewood, WA 98499-7011 | 2019-11-21 |
| 1174096481 | Elizabeth Wagner | Specialist | 1104 W River Rd, Detroit Lakes, MN 56501-2723 | 2019-01-09 |
| 1689158297 | Elizabeth Bramlish Wagner | Social Worker | 299 Cramer Creek Ct, Dublin, OH 43017-2586 | 2018-09-19 |
| 1003392044 | Elizabeth Bailey Wagner | Occupational Therapist | 7161 W Q Ave, Kalamazoo, MI 49009-5951 | 2018-07-12 |
| 1831629336 | Elizabeth Stanton Wagner | Pediatrics | 593 Eddy St, Providence, RI 02903-4923 | 2017-06-15 |
| 1386092336 | Elizabeth Ann Wagner | Nurse Practitioner | 222 S Woods Mill Rd Ste 500n, Chesterfield, MO 63017-3640 | 2016-06-01 |
| Street Address |
2180 MAIN ST |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578827 | Judy L Schmidt | Internal Medicine | 2180 Main St, Wailuku, HI 96793-1625 | 2005-06-15 |
| 1710502331 | Jalin K.a. Finai | Audiologist | 2180 Main St, Wailuku, HI 96793-1625 | 2020-06-09 |
| 1154951499 | Philip Michael Tongg Jr. | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2020-01-24 |
| 1902440365 | Natasha Victoria Murray | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793-1625 | 2019-10-29 |
| 1740831445 | Maria Castellanos | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2019-09-24 |
| 1770143026 | Tamsyn Kellough | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2019-06-19 |
| 1851863419 | Emily Newman | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2018-12-20 |
| 1083100986 | Rebeka Lyn Coleman | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2018-07-03 |
| 1700383155 | Shawna Wiley | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793 | 2018-04-11 |
| 1821516618 | Tanya Takatani-apo | Nurse Practitioner | 2180 Main St, Wailuku, HI 96793-1625 | 2017-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| 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 |
|---|---|---|---|---|
| 1164976890 | Scott Puleio | Physical Therapist | 53 Koani Loop, Wailuku, HI 96793-3313 | 2016-08-10 |
| 1316351117 | Danae Meier | Physical Therapist | 256 Lau Oliwa Loop, Wailuku, HI 96793-2186 | 2014-06-19 |
| 1043565831 | Christina Nihem Tompson | Physical Therapist | 36 Naniloa Dr, Apartment 201, Wailuku, HI 96793-2437 | 2012-07-17 |
| 1629369244 | Kilohana Physical Therapy, LLC | Physical Therapist | 829 Haawi St, Wailuku, HI 96793-8353 | 2011-04-29 |
| 1801071626 | Brenda Yvonne Wong | Physical Therapist | 911 Wailupe Dr, Wailuku, HI 96793-9659 | 2007-12-31 |
| 1801933148 | Clare Helen Apana | Physical Therapist | 260 Halenani Dr, Wailuku, HI 96793 | 2007-01-30 |
| 1477623601 | Scott Smith | Physical Therapist | 1827 Wells St Ste 2, Wailuku, HI 96793 | 2006-11-08 |
| 1558448779 | Roswitha E Gabriel | Physical Therapist | 81 Central Ave, Wailuku, HI 96793-1723 | 2006-11-01 |
| 1821179060 | Darcy S Ledesma | Physical Therapist | 6 Central Ave, Wailuku, HI 96793 | 2006-10-17 |
| 1366469082 | Hozaki Physical Therapy, Inc. | Physical Therapist | 1721 Wili Pa Loop Ste 102 B, Wailuku, HI 96793-1278 | 2006-07-17 |
| Find all providers in WAILUKU | ||||
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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.