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

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