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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW AUSTIN WAGNER

Active Sole Proprietor

MATTHEW AUSTIN WAGNER is a Physical Therapy Assistant healthcare provider located in BELLMORE, New York. NPI 1659057412 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BELLMORE, NY

Registration Details

NPI Number
1659057412
Provider Type
Individual
Gender
Male
NPI Issued
Jun 26, 2023 (3.1498692312107 yrs)
Last Updated
Jun 26, 2023
License
050527 (NY)
Sole Proprietor
Yes

Practice Information

Address
616 BEDFORD AVE
BELLMORE, NY, 117103619
Browse NY providers · Browse ZIP 11710
Phone
5166865533
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BELLMORE, NY

Name Credential NPI
DR. JODI ROBIN TUZZOLO DPT 1487605119
MS. VALERIE J. LABIAK PT 1922053206
MA THERESA ENANO ALVIZO BSPT 1912920869
MARIA CONCEPCION BAUTISTA TAYLOR D.PT.,CEEAA CDP 1316057300
MR. MICHAEL MILLER PT 1710047352
AMANDA RUBINO DPT 1033485180
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.