TOSHA WAGNER (NPI# 1396270559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396270559 |
Entity Type | Individual |
Full Name | TOSHA WAGNER |
Practice Address |
6315 Quarry Vista Dr Apt 225 Fitchburg WI 53719-9102 |
Practice Telephone | 6082011916 |
Mailing Telephone | 6082011916 |
Enumeration Date | 2017-04-25 |
Last Update Date | 2017-04-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
2538-19 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
6315 QUARRY VISTA DR APT 225 |
City | FITCHBURG |
State | WI |
Zip Code | 53719-9102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
Find all providers in zip 53719 |
Taxonomy Code | 2251G0304X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Geriatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194185330 | Lauren Pollpeter | Physical Therapist | N104w20831 Willow Creek Rd, Colgate, WI 53017-9501 | 2016-03-01 |
1205279817 | Megan Oeth | Physical Therapist | 5025 Spaanem Ave, Madison, WI 53716-2837 | 2013-04-12 |
1811230253 | Rajeshwari N Iyer | Physical Therapist | 2738 Park Place Ln Apt 39, Janesville, WI 53545-5267 | 2013-04-04 |
1902131931 | Richard Lewis | Physical Therapist | 6341 Johnston Dr, Two Rivers, WI 54241-9671 | 2009-10-08 |
1285868513 | Dennis Borja Miranda | Physical Therapist | 311 W Kalsched St, Apt. 209, Marshfield, WI 54449-1466 | 2009-05-14 |
1932342011 | Linda Kettner Tucker | Physical Therapist | 5000 Mequon Road, Mequon, WI 53092 | 2009-04-20 |
1093963019 | Jessica M. Hoinacki | Physical Therapist | W2342 Puchyan Rd, Berlin, WI 54923-9486 | 2008-09-03 |
1396912333 | Sherilyn Weinert | Physical Therapist | 18365 Harvest Ln, Brookfield, WI 53045-5446 | 2008-05-09 |
1417163551 | Katherine Ann Brewer | Physical Therapist | W289n6369 Blackhawk Dr, Hartland, WI 53029-9448 | 2007-05-15 |
1245445766 | Cynthia May Wendt | Physical Therapist | 717 E. Alfred St. Weyauwaga, 717 E. Alfred, Weyauwega, WI 54983 | 2007-05-10 |
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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.