Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY SMITH WAGNER, MPT
ActiveSTACY SMITH WAGNER, MPT is a Physical Therapy Assistant healthcare provider located in NEW HAVEN, Connecticut. NPI 1801188750 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · NEW HAVEN, CT
Registration Details
- NPI Number
- 1801188750
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2011 (15.218740526509 yrs)
- Last Updated
- Dec 18, 2023
- License
-
9052 (CT)
Practice Information
- Address
-
1481 CHAPEL STNEW HAVEN, CT, 06511Browse CT providers · Browse ZIP 06511
- Phone
- 2037769110
- Fax
- 2037775879
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in NEW HAVEN, CT
| Name | Credential | NPI |
|---|---|---|
| MR. WILLIAM F PESANELLI | PT | 1730167859 |
| MAURA LEONE | PT | 1225018310 |
| MRS. PATRICIA RALSTON | REG PHYSICAL THERAPI | 1801865761 |
| MRS. KELLEY ANDERSON ESPOSITO | RPT | 1427027689 |
| MR. JAMES M MONTANA | RPT | 1295796340 |
| MR. MARC I ROBERTSON | — | 1033132006 |
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.