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ASHLEY CHRISTINE WAGNER
NPI 1104382936
Preventive Medicine - Sports Medicine in Austin, TX

Active since February 18, 2019
3724 EXECUTIVE CENTER DR STE G10, AUSTIN, TX 78731(512) 324-9720 Get Directions Write a Review

NPPES record last updated: February 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ashley Christine Wagner NPPES

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

ASHLEY CHRISTINE WAGNER (NPI 1104382936) is an individual sports medicine provider in Austin, Texas, licensed in Texas (AT5055) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1104382936
Entity TypeIndividualFemale
Primary Taxonomy2083S0010X
Provider Legal NameASHLEY CHRISTINE WAGNER
Location Address3724 EXECUTIVE CENTER DR STE G10Austin, TX 78731-1665
Mailing Address428 Lewisville LnLeander, TX 78641-4046 · (361) 500-2803
Phone(512) 324-9720
Sole ProprietorNo
Enumeration DateFebruary 18, 2019
✔ NPI 1104382936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083S0010X
License✔ Licensed in TX · AT5055
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
3724 EXECUTIVE CENTER DR STE G10, Austin, TX 78731
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Other Identifiers 2

OtherAT5055TX · State Of Texas Licensure
Other2000007383Board Of Certification

Other Providers at the Same Location NPPES 11

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

LISA L HOWARD O.T.R.
Occupational Therapist
3724 EXECUTIVE CENTER DR STE G10
AUSTIN, TX 78731
Travis County (512) 345-5925
ANDREA RAMIREZ CRISTOFORO BCBA-D
Behavior Analyst
3724 EXECUTIVE CENTER DR STE G10
AUSTIN, TX 78731
Travis County (877) 775-9860
MR. CHARLES CLAXTON LAT, ATC
Specialist/Technologist (Athletic Trainer)
3724 EXECUTIVE CENTER DR STE G10
AUSTIN, TX 78731
Travis County (904) 214-4850
AUSTIN NEUROSURGICAL AND SPINE INSTITUTE, PA
Neurological Surgery
3724 EXECUTIVE CENTER DR STE G10
AUSTIN, TX 78731
Travis County (512) 345-5925
TEXAS ABA CENTERS LLC
Behavior Analyst
3724 EXECUTIVE CENTER DR STE G10
AUSTIN, TX 78731
Travis County (561) 323-6582
SPINE CLINIC PTPP INC
Specialist
3724 EXECUTIVE CENTER DR STE G10
AUSTIN, TX 78731
Travis County (512) 345-5925
ANDREA MARGARITA RAMIREZ BCBA
Behavior Analyst
3724 EXECUTIVE CENTER DR STE G10
AUSTIN, TX 78731
Travis County (877) 775-9860
JAMES HANSEN M.D.
Neurological Surgery
3724 EXECUTIVE CENTER DR STE G10
AUSTIN, TX 78731
Travis County (512) 345-5925

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 Ashley Wagner's NPI number?

The NPI number for Ashley Wagner is 1104382936. It was assigned to this individual provider in the NPPES registry on February 18, 2019.

Where is Ashley Wagner located?

Ashley Wagner practices at 3724 Executive Center Dr Ste G10, Austin, TX 78731. The listed phone number is (512) 324-9720.

What is Ashley Wagner's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

When was this NPI record last updated?

The NPPES record for Ashley Wagner was last updated on February 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.