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MR. JUSTIN ROMAN WAGNER PT NPI 1669451472


NPI Information

NPI: 1669451472
Provider Name: MR. JUSTIN ROMAN WAGNER, PT
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
REC CENTER PHYSICAL THERAPY
400 COLLINS RD NE 154-100
CEDAR RAPIDS, IA
ZIP 52498
Phone: (319) 295-8899
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MR. Justin Roman Wagner, PT is a specialist in Cedar Rapids, IA with 23 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Justin Roman Wagner, PT NPI is 1669451472. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

REC CENTER PHYSICAL THERAPY
400 COLLINS RD NE 154-100
CEDAR RAPIDS, IA
ZIP 52498-001
Phone: (319) 295-8899
Fax: (319) 295-8833

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
  • Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Evaluation of physical therapy, typically 20 minutes (HCPCS:97161)

The enumeration date for this NPI number is 1/10/2006 and was last updated on 10/2/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist03670IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
138070OTHERIOWAWELLMARK PROVIDER NUMBER
2I15343MEDICARE ID-TYPE UNSPECIFIEDIOWAPROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.