Active NPIIndividual provider

Jodee Wagner, PT

Physical Therapist in Pennsville, New Jersey

NPI Number1760715510
Practice location
111 S Broadway, Pennsville, NJ 08070-2038
Fax
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Last updated
September 11, 2009

Jodee Wagner is a Physical Therapist based in Pennsville, NJ. Jodee Wagner practices in Pennsville, NJ and has the professional credentials of PT. The NPI Number for Jodee Wagner is 1760715510 and holds a License No. 40QA01004500 (NJ). The current practice location address for Jodee Wagner is 111 S Broadway, Pennsville, NJ 08070-2038 and can be reached out via phone at 856-678-4701.

Provider Profile Details

NPI Number
1760715510
Provider Name
Jodee Wagner
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
111 S Broadway, Pennsville, NJ 08070-2038
Phone Number
856-678-4701
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
September 11, 2009
Last Update Date
September 11, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 S Broadway
Pennsville, NJ 08070-2038
Zip
08070-2038
Phone Number
856-678-4701
Pennsville, NJ 08070Get directions →

Provider Business Mailing Address Details

Address
3 Caroline CT
Pilesgrove, NJ 08098-2741
City
Pilesgrove
State
NJ
Zip
08098-2741
Phone Number
609-202-9616

License Information

License Number
40QA01004500
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Jodee Wagner, PT?

The NPI number of Jodee Wagner, PT is 1760715510. It was assigned on September 11, 2009 and is currently active in the NPPES registry.

What is the specialty of Jodee Wagner, PT?

Jodee Wagner, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01004500.

Where does Jodee Wagner, PT practice?

The practice location is 111 S Broadway, Pennsville, NJ 08070-2038. The office can be reached at 856-678-4701 (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 1760715510 directly on the NPPES registry website.

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