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

Individual provider Physical Therapist · NPI 1306410857

Cecyle Wagner, PT, DPT is a Physical Therapist in Fairfax, Virginia. Licensed in Arizona, Tennessee and Virginia. Registered with an NPI since 2021.

Licensed in
AZ, TN, VA
In the registry since
2021
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

8550 Lee Hwy Ste 450
Fairfax, VA 22031-1519
Phone: (703) 208-1002
Fax: (703) 208-1127
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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 CP024217T (VA)
Physical Therapist Taxonomy 225100000X · Licence LPT-31756 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 14660 (TN)

Record details

NPI number1306410857
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 19, 2021
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing address706 N Williams, Mesa, AZ 85203-6639

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