ELLEN WAGNER (NPI# 1356953467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356953467 |
| Entity Type | Individual |
| Full Name | ELLEN WAGNER |
| Practice Address |
10640 N Riverside Dr Ste 200 Fort Worth TX 76244-9506 |
| Practice Telephone | 8174319000 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PT LICENSE NUMBER | 1333962 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710508155 | Ellen Wagner | Occupational Therapist | 508 10th Ave, Belmar, NJ 07719-2317 | 2020-04-27 |
| 1871089136 | Ellen Wagner | Pediatrics | 5841 S Maryland Ave # Mc8016, Chicago, IL 60637-1443 | 2018-07-10 |
| 1417349036 | Ellen Wagner | Pharmacist | 5420 Liberty Fairfield Rd, Liberty Twp, OH 45011-2680 | 2015-02-19 |
| 1679975411 | Ellen Africano Wagner | Registered Nurse | 19624 Governors Hwy, Flossmoor, IL 60422-2077 | 2014-09-24 |
| 1821300823 | Ellen Wanda Wagner | Pharmacist | 5006 N Broadway St, Knoxville, TN 37918-2340 | 2010-07-07 |
| 1568408789 | Ellen A Wagner | Nurse Anesthetist, Certified Registered | 265 Herrick Road, Southampton, NY 11968 | 2006-06-22 |
| 1316987753 | Ellen Rogers Wagner | Optometrist | 806 Riverside Ave, Suite 100, Jacksonville, FL 32204-3337 | 2006-06-07 |
| Street Address |
10640 N RIVERSIDE DR STE 200 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-9506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754043 | Haley Cochran | Speech-Language Pathologist | 10640 N Riverside Dr Ste 200, Fort Worth, TX 76244-9506 | 2020-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| 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 |
|---|---|---|---|---|
| 1437764008 | Fort Worth Cancer Care | Physical Therapist | 4952 Stadium Dr, Fort Worth, TX 76133-1742 | 2020-09-10 |
| 1710596200 | Mary Goertz | Physical Therapist | 4120 Highway 360 Ste 105, Fort Worth, TX 76155-2562 | 2020-07-30 |
| 1588273379 | Sierra Martha Wilson Bautista | Physical Therapist | 1605 5th Ave Apt 11, Fort Worth, TX 76104-4348 | 2020-07-28 |
| 1932727534 | Pcpt, Pllc | Physical Therapist | 3712 Cresthaven Ter, Fort Worth, TX 76107-1016 | 2020-07-09 |
| 1265059422 | Savannah Erin Martinez | Physical Therapist | 2450 Oak Hill Cir Apt 814, Fort Worth, TX 76109-9506 | 2020-07-02 |
| 1548886054 | Kathryn Nicole Bergsma | Physical Therapist | 5612 Pradera Rd, Fort Worth, TX 76126-2035 | 2020-06-20 |
| 1780203539 | Samuel Adrignola | Physical Therapist | 2939 Crockett St Apt 245, Fort Worth, TX 76107-2953 | 2020-04-12 |
| 1407488364 | Sharvari Patel | Physical Therapist | 800 Jim Wright Fwy Bldg #2, Fort Worth, TX 76108 | 2020-02-09 |
| 1003457300 | Danieta Kay Grissman | Physical Therapist | 12460 Woods Edge Trl, Fort Worth, TX 76244-9408 | 2019-10-08 |
| 1992355275 | Katy Lynn Allen | Physical Therapist | 4900 Overton Ridge Blvd Ste 200, Fort Worth, TX 76132-1979 | 2019-09-18 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
Please comment or provide details below to improve the information on ELLEN WAGNER.
| 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.