Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Andrew Howard Wagner

Individual provider Physical Therapist · NPI 1780198416

Andrew Howard Wagner is registered under Physical Therapist in Private Practice in Fairview, Tennessee. Qualified in 2017, 9 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Tennessee.

Years since qualifying
9
Licensed in
FL, TN
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

7108 Boone St Ste B
Fairview, TN 37062-9305
Phone: (615) 236-7013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 120 Briggswood Dr, Elma, NY 14059-9477 — (716) 432-5113

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 17567 (TN)
Physical Therapist Taxonomy 225100000X · Licence 34249 (FL)

Record details

NPI number1780198416
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 16, 2017
Last updated in NPPESSeptember 24, 2026
Certification dateSeptember 24, 2026

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients19
Services billed 133 a service is one billed item, such as a visit, a test or a procedure
Average patient age91

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Healthpro Heritage Rehab and Fitness LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 990 clinicians in the practice; 12 are shown here.

Other providers in Fairview