Wagner PT & Performance LLC
Clinic/Center, Physical Therapy in Lakeville, Massachusetts
1730678038- Practice location
- 290 Bedford St, Lakeville, MA 02347
- Phone
- 508-938-9787
- Fax
- —
- Last updated
- July 12, 2018
Wagner PT & Performance LLC is a healthcare organization based in Lakeville, MA. Wagner PT & Performance LLC practices in Lakeville, MA. The NPI Number for Wagner PT & Performance LLC is 1730678038 and holds a License No. 1346-AH-PF (MA). The current practice location address for Wagner PT & Performance LLC is 290 Bedford St, Lakeville, MA 02347 and can be reached out via phone at 508-938-9787.
Provider Profile Details
- NPI Number
- 1730678038
- Provider Name
- Wagner PT & Performance LLC
- Provider Entity Type
- Organization
- Address
- 290 Bedford St, Lakeville, MA 02347
- Phone Number
- 508-938-9787
- Primary Taxonomy
- Clinic/Center, Physical Therapy · 261QP2000X
- Organization Subpart
- No
- Authorized Official
- Zachary R Wagner, PT, DPT · Owner · 626-221-2628
- Provider Enumeration Date
- May 2, 2018
- Last Update Date
- July 12, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 290 Bedford St
Lakeville, MA 02347 - City
- Lakeville
- State
- Massachusetts
- Zip
- 02347
- Phone Number
- 508-938-9787
Provider Business Mailing Address Details
- Address
- 376 Laurel St
Bridgewater, MA 02324-2705 - City
- Bridgewater
- State
- MA
- Zip
- 02324-2705
- Phone Number
- 626-221-2628
License Information
- License Number
- 1346-AH-PF
- License State
- MA
- Taxonomy
- Clinic/Center, Physical Therapy · 261QP2000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Wagner PT & Performance LLC?
The NPI number of Wagner PT & Performance LLC is 1730678038. It was assigned on May 2, 2018 and is currently active in the NPPES registry.
What is the specialty of Wagner PT & Performance LLC?
Wagner PT & Performance LLC is registered under the primary taxonomy Clinic/Center, Physical Therapy (code 261QP2000X), licensed in MA under license number 1346-AH-PF.
Where does Wagner PT & Performance LLC practice?
The practice location is 290 Bedford St, Lakeville, MA 02347. The office can be reached at 508-938-9787 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730678038 directly on the NPPES registry website.