JUDY WAGNER (NPI# 1871014480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871014480 |
| Entity Type | Individual |
| Full Name | JUDY WAGNER |
| Practice Address |
5535 S Williamson Blvd Ste 774 Port Orange FL 32128-8321 |
| Mailing Address |
731 Hirst St Cheyenne WY 82009-2505 |
| Practice Telephone | 8882652680 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 0244 | WY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386978252 | Judy Lynn Wagner | Registered Nurse | 360 Peak One Drive, Suite 230, Frisco, CO 80443 | 2009-09-25 |
| 1295747491 | Judy Lynn Wagner | Nurse Practitioner | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2006-08-13 |
| Street Address |
5535 S WILLIAMSON BLVD STE 774 |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32128-8321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942564984 | Katie Ginader | Occupational Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2012-06-25 |
| 1508464199 | Brandon Mansell | Physical Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-10-15 |
| 1104423045 | Dunya Sleiman | Occupational Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-10-05 |
| 1144836354 | Melissa Koch | Occupational Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-09-22 |
| 1619580917 | Sandra Tai | Physical Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-08-26 |
| 1487267142 | Mariah Smart | Speech-Language Pathologist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-08-24 |
| 1205447802 | Maira Dawood | Speech-Language Pathologist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-08-17 |
| 1083224356 | Joseph Couche | Physical Therapist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-08-03 |
| 1245857853 | Denise Strickland | Speech-Language Pathologist | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-06-30 |
| 1659997740 | Paige Verrastro | Occupational Therapy Assistant | 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 | 2020-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487209979 | Encore Hearing Consultants, LLC | Hearing Instrument Specialist | 5889 S. Williamson Blvd, Suite 1409, Port Orange, FL 32128 | 2019-08-02 |
| 1346768835 | T'neill Treherne | Occupational Therapist | 5535 S. Williamson Blvd Suite 774, Port Orange, FL 32128 | 2017-09-05 |
| 1881055440 | Jose Ortiz | Chiropractor | 6315 S Williamson Blvd Apt 132, Port Orange, FL 32128 | 2016-03-10 |
| 1376915132 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5445 S. Williamson Blvd, Port Orange, FL 32128 | 2015-10-20 |
| 1508289570 | Jeffrey Barnes | Physical Therapist | 5535 S. Williamson B;vd, Port Orange, FL 32128 | 2014-01-28 |
| 1881025542 | Rachael Hall | Physical Therapist | 55335 S Williamson Blvd, Suite 774, Port Orange, FL 32128 | 2013-12-06 |
| 1154765840 | Daniel Fleishman | Counselor | 6709 Ferri Circle, Port Orange, FL 32128 | 2013-04-24 |
| 1215282629 | Jeffrey Mclaughlin | Physical Therapist | 5535 S. Williamson Blvd., Ste 774, Port Orange, FL 32128 | 2012-07-23 |
| 1710266812 | Steven Gerald Daniels | Chiropractor | 1807 Creekwater Blvd, Port Orange, FL 32128 | 2011-08-08 |
| 1639489883 | Dr. Michael Hay and Associates, LLC | Optometrist | 5517 S. Williamson Blvd., #310, Port Orange, FL 32128 | 2010-10-20 |
| Find all providers in zip 32128 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1578198750 | Daniel Martin | Physical Therapy Assistant | 5535 S Williamson Blvd Ste 700, Port Orange, FL 32128-8321 | 2020-03-07 |
| 1104489319 | Errol Lopez | Physical Therapy Assistant | 3882 Sunset Cove Dr, Port Orange, FL 32129-1916 | 2019-04-15 |
| 1154739811 | Linda Anthony | Physical Therapy Assistant | 50 Cypress Pond Rd, Port Orange, FL 32128-6722 | 2014-07-25 |
| 1477975480 | Roxanne Hemmerling | Physical Therapy Assistant | 1119 Nature View Cir, Port Orange, FL 32128-7454 | 2014-01-09 |
| 1417209719 | Sally J Blunier | Physical Therapy Assistant | 3646 Socha Way, Port Orange, FL 32129-4259 | 2012-10-10 |
| 1952611188 | Tiffany Lynn Dunham | Physical Therapy Assistant | 6048 Spruce Point Cir, Port Orange, FL 32128-5502 | 2010-10-21 |
| 1326376385 | Connie Jeanne Bodnarik | Physical Therapy Assistant | 3780 S Clyde Morris Blvd Apt 1206, Port Orange, FL 32129 | 2009-12-02 |
| 1811192636 | Eric W Harting | Physical Therapy Assistant | 1675 Dunlawton Ave, Port Orange, FL 32127-4755 | 2007-06-20 |
| 1407058506 | Meghan J Traverse | Physical Therapy Assistant | 687 Branch Dr, Port Orange, FL 32127-5893 | 2007-06-01 |
| 1780723510 | Mark Kolb | Physical Therapy Assistant | 1525 Herbert St Ste 103, Port Orange, FL 32129-6107 | 2007-02-06 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32128 |
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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.