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

Judy Wagner

Individual provider Physical Therapy Assistant · NPI 1871014480

Judy Wagner is a Physical Therapy Assistant in Port Orange, Florida. Licensed in Wyoming. Registered with an NPI since 2017.

Licensed in
WY
In the registry since
2017

Practice location Address checks out

5535 S Williamson Blvd Ste 774
Port Orange, FL 32128-8321
Phone: (888) 265-2680
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 0244 (WY)

Record details

NPI number1871014480
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 5, 2017
Last updated in NPPESJuly 5, 2017
Mailing address731 Hirst St, Cheyenne, WY 82009-2505

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