Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Howard Wagner

Individual provider Physical Therapist · NPI 1780198416

Andrew Howard Wagner is a Physical Therapist in Private Practice in Elma, New York. Qualified in 2017, 9 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017

Practice location Address checks out

120 Briggswood Dr
Elma, NY 14059-9477
Phone: (716) 432-5113
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 34249 (FL)

Record details

NPI number1780198416
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 16, 2017
Last updated in NPPESJuly 9, 2020
Certification dateJuly 9, 2020
Mailing address120 Briggswood Dr, Elma, NY 14059-9477

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Elma