DR. KIMBERLY N WAGNER DPT
NPI 1104176593
Physical Therapist - Pediatrics in Henderson, NV

Q: What is Kimberly Wagner's NPI number?

The NPI number for Kimberly Wagner is 1104176593. It was assigned to this individual provider in the NPPES registry on September 13, 2012.

Q: What is Kimberly Wagner's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Wagner was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 13, 2012

750 CORONADO CENTER DR, SUITE 120, HENDERSON, NV 89052(702) 564-4116 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kimberly N Wagner Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIMBERLY N WAGNER DPT (NPI 1104176593) is an individual pediatrics provider in Henderson, Nevada, licensed in Nevada (2757) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1104176593

Entity TypeIndividualFemale

Primary Taxonomy2251P0200X

Provider Legal NameDR. KIMBERLY N WAGNERCredential: DPT

Location Address750 CORONADO CENTER DR, SUITE 120Henderson, NV 89052-5034

Mailing Address6617 Sunset Pines StLas Vegas, NV 89148-4251 · (903) 453-1709

Phone(702) 564-4116

Sole ProprietorNo

Enumeration DateSeptember 13, 2012

Last NPPES UpdateSeptember 30, 2019

✔ NPI 1104176593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

License✔ Licensed in NV · 2757

Definition

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.

750 CORONADO CENTER DR, Henderson, NV 89052

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYSIOTHERAPY ASSOCIATES INC

Clinic/Center (Rehabilitation)

750 CORONADO CENTER DR, SUITE 140
HENDERSON, NV 89052

Clark County (702) 312-4878

MRS. LESLEE ROSENLOF DPT

Community Health Worker

750 CORONADO CENTER DR
HENDERSON, NV 89052

Clark County (702) 564-4116

MR. ADAM GARRETT CLEAVER DPT

Physical Therapist

750 CORONADO CENTER DR, #140
HENDERSON, NV 89052

Clark County (702) 312-4878

MS. KATHLEEN A GUTZAT OTR/L

Occupational Therapist

750 CORONADO CENTER DR, SUITE 120
HENDERSON, NV 89052

Clark County (702) 564-4116

HITASHA MITERA SP

Speech-Language Pathologist

750 CORONADO CENTER DR
HENDERSON, NV 89052

Clark County (702) 564-4116

ALEXIS STEVENSON

Behavior Analyst

750 CORONADO CENTER DR
HENDERSON, NV 89052

Clark County (702) 900-4320

MITZI GILLEN

Occupational Therapist

750 CORONADO CENTER DR, #120
HENDERSON, NV 89052

Clark County (702) 564-4116

MRS. REBECCA MICHELLE BUSH DPT

Physical Therapist

750 CORONADO CENTER DR, SUITE 120
HENDERSON, NV 89052

Clark County (702) 564-4116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Wagner's NPI number?

The NPI number for Kimberly Wagner is 1104176593. It was assigned to this individual provider in the NPPES registry on September 13, 2012.

Where is Kimberly Wagner located?

Kimberly Wagner practices at 750 Coronado Center Dr Suite 120, Henderson, NV 89052. The listed phone number is (702) 564-4116.

What is Kimberly Wagner's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Kimberly Wagner was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.