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

Dr. Charles Ay Wagner, RN, DPT

Individual provider Physical Therapist · NPI 1134326549

Dr. Charles Ay Wagner, RN, DPT is a Physical Therapist in Private Practice in Hilo, Hawaii. Qualified in 2006, 20 years ago. Practices with Core Wellness Hawaii LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
20
Licensed in
HI
In the registry since
2007
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

69 Railroad Ave Ste A4
Hilo, HI 96720-7509
Phone: (808) 339-7861
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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 PT 2674 (HI)

Record details

NPI number1134326549
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , DPT
Sole proprietorNo
NPI enumeratedJune 29, 2007
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Core Wellness Hawaii Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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