Tracey Wagner, RPT is a
Physical Therapist - Orthopedic based in Woodland Hillsq, California. Tracey Wagner is licensed to practice in California (license number PT 26158) and her current practice location is
5601 Desoto Ave, Woodland Hillsq, California. She can be reached at her office (for appointments etc.) via phone at
(818) 719-2930.
NPI number for Tracey Wagner is 1376766477 and her current mailing address is 675 Oak Park, 209, Oak Park, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376766477.
Healthcare Provider's Profile
Full Name | Tracey Wagner |
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Gender | Female |
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Speciality | Physical Therapist - Orthopedic |
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Location | 5601 Desoto Ave, Woodland Hillsq, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376766477
- Provider Enumeration Date: 04/10/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Tracey Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376766477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251X0800X | Physical Therapist - Orthopedic | PT 26158 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracey Wagner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tracey Wagner, RPT 675 Oak Park, 209, Oak Park, CA 91377 Ph: () - | Tracey Wagner, RPT 5601 Desoto Ave, Woodland Hillsq, CA 91365 Ph: (818) 719-2930 |
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