Mrs Melinda Kay Wagner, PT | |
2000 S Glenburnie Rd Ste 210, New Bern, NC 28562-5227 | |
(252) 302-5200 | |
(252) 302-2191 |
Full Name | Mrs Melinda Kay Wagner |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2000 S Glenburnie Rd Ste 210, New Bern, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841326907 | NPI | - | NPPES |
MO R1111 | Other | MO | PHYSICAL THERAPY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | MO R1111 (Missouri) | Secondary |
225100000X | Physical Therapist | P21235 (North Carolina) | Primary |
Provider Name | Activcare Physical Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548409626 PECOS PAC ID: 8628027471 Enrollment ID: O20090513000597 |
Mailing Address | Practice Location Address |
---|---|
Mrs Melinda Kay Wagner, PT 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 373-2919 | Mrs Melinda Kay Wagner, PT 2000 S Glenburnie Rd Ste 210, New Bern, NC 28562-5227 Ph: (252) 302-5200 |
Jenna King, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 Neuse Blvd, New Bern, NC 28560 Phone: 252-633-8640 | |
Donna Morris Hines, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 S Glenburnie Rd, Ste 210, New Bern, NC 28562 Phone: 252-302-5200 | |
Laurel J Magee-linch, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Neuse Blvd, New Bern, NC 28560 Phone: 252-633-8640 | |
John Francis Mella, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Neuse Blvd, New Bern, NC 28560 Phone: 252-633-8020 | |
Jennifer Cooke, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 738 Newman Rd, New Bern, NC 28562 Phone: 252-634-2676 Fax: 252-633-3502 | |
Carissa Marie Schwartz, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 738 Newman Rd, New Bern, NC 28562 Phone: 252-634-2676 Fax: 252-633-3502 | |
Dr. Kayla Lynn Gee, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 738 Newman Road, New Bern, NC 28562 Phone: 252-633-6099 Fax: 252-633-4047 |