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

Anusha Wagh

Individual provider Physical Therapist · NPI 1205647948

Anusha Wagh is a Physical Therapist in Private Practice in Great Neck, New York. Qualified in 2024, 2 years ago. Practices with Reddy Care Physical Therapy PC, a 139-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

475 Northern Blvd Ste 11
Great Neck, NY 11021-4802
Phone: (516) 829-0030
Fax: (516) 466-7723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 052775 (NY)

Record details

NPI number1205647948
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 14, 2025
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025
Mailing address145 Affinity Ln Apt D, Buffalo, NY 14215-2437

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Reddy Care Physical Therapy Pc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Great Neck