National Provider Identifier
Adam Wagner, DPT
Adam Wagner, DPT is listed in the NPPES registry with a primary specialty of Orthopedic Physical Therapist in Trumansburg, NY and a listed phone number of (607) 213-3300.
Profile Overview
- NPI
- 1750155529
- Provider Type
- Individual
- Primary Specialty
- Orthopedic Physical Therapist
- Enumeration Date
- November 13, 2023
- Last Updated
- November 13, 2023
Practice Location
- 203 E Main St Ste A
- Trumansburg, NY 14886-8908
Phone: (607) 213-3300
Specialties
- Orthopedic Physical Therapist (2251X0800X)
Full Record
- NPI
- 1750155529
- Entity Type
- Individual
- Last Name
- Wagner
- First Name
- Adam
- Credential
- DPT
- Mailing Street Address
- 203 E Main St Ste A
- Mailing City
- Trumansburg
- Mailing State
- NY
- Mailing ZIP Code
- 14886-8908
- Mailing Country
- US
- Mailing Phone
- (607) 213-3300
- Practice Street Address
- 203 E Main St Ste A
- Practice City
- Trumansburg
- Practice State
- NY
- Practice ZIP Code
- 14886-8908
- Practice Country
- US
- Practice Phone
- (607) 213-3300
- Enumeration Date
- November 13, 2023
- Last Updated
- November 13, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- November 11, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthopedic Physical Therapist (2251X0800X)