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

Mariah Nicole Wagner, DPT

Individual provider Physical Therapist · NPI 1235754821

Mariah Nicole Wagner, DPT is a Physical Therapist in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2020.

Licensed in
OK
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1634 SW 122nd St
Oklahoma City, OK 73170-4859
Phone: (405) 692-2366
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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 5816 (OK)

Record details

NPI number1235754821
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 10, 2020
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020

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