DR. KIMBERLY N WAGNER DPT
NPI 1104176593
Physical Therapist - Pediatrics in Henderson, NV
NPI Status: Active since September 13, 2012
Contact Information
750 CORONADO CENTER DR
SUITE 120
HENDERSON, NV
ZIP 89052
Phone: (702) 564-4116
- Individual
- Female
- Physical Therapist
- Pediatrics
About KIMBERLY WAGNER
This page provides the complete NPI Profile along with additional information for Kimberly Wagner, a provider established in Henderson, Nevada with a medical specialization in Physical Therapist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1104176593 assigned on September 2012. The practitioner's primary taxonomy code is 2251P0200X with license number 2757 (NV). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1104176593
- Provider Name
- DR. KIMBERLY N WAGNER DPT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 750 CORONADO CENTER DR SUITE 120 HENDERSON, NV 89052
- Location Phone
- (702) 564-4116
- Mailing Address
- 6617 SUNSET PINES ST LAS VEGAS, NV 89148
- Mailing Phone
- (903) 453-1709
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-13-2012
- Last Update Date
- 09-30-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Pediatrics
- Taxonomy Code
- 2251P0200X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 2757
- License State
- NV
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104176593, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
HENDERSON, NV 89052
HENDERSON, NV 89052
HENDERSON, NV 89052
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104176593, enumerated as an "individual" on September 13, 2012.
The provider is located at 750 CORONADO CENTER DR SUITE 120 HENDERSON, NV 89052 and the phone number is (702) 564-4116.
Physical Therapist with taxonomy code 2251P0200X and a focus in Pediatrics.
