Kevin Wagner, MSPT | |
3283 Motor Ave, Los Angeles, CA 90034-3709 | |
(310) 845-9690 | |
Not Available |
Full Name | Kevin Wagner |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 17 Years |
Location | 3283 Motor Ave, Los Angeles, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306006978 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 33753 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Train Boston Physical Therapy Inc | 6709065006 | 7 |
Provider Name | Train Boston Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1437385523 PECOS PAC ID: 6709065006 Enrollment ID: O20150408000825 |
Mailing Address | Practice Location Address |
---|---|
Kevin Wagner, MSPT 4872 Mcconnell Ave, Los Angeles, CA 90066-6712 Ph: () - | Kevin Wagner, MSPT 3283 Motor Ave, Los Angeles, CA 90034-3709 Ph: (310) 845-9690 |
Miss Jill M Werner, B.SC.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 Cesar E Chavez Ave., Los Angeles, CA 90033 Phone: 323-268-5000 | |
Ms. Peggy Sue Perock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 N La Brea Street, Bob Hope Medical Clinic, Los Angeles, CA 90036 Phone: 323-634-3826 Fax: 323-938-9958 | |
Jessica Elizabeth Greim, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 310-361-2118 | |
Mrs. Christy Lynn Skura, DPT, PCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8717 Venice Blvd, Los Angeles, CA 90034 Phone: 310-337-7115 Fax: 310-216-6153 | |
Dr. Sean Dennis Johnson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 488 S San Vicente Blvd, Los Angeles, CA 90048 Phone: 323-655-9055 | |
Izumi Yasuhara, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6080 Center Dr Fl 6, Los Angeles, CA 90045 Phone: 888-859-0145 | |
Ritchie Val Aguilera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2040 Fair Park Ave, Apt 206, Los Angeles, CA 90041 Phone: 818-985-5990 |