KENNETH GABRIEL WAGONER PTA
NPI 1164393674
Physical Therapy Assistant in Statesville, NC
About Kenneth Gabriel Wagoner Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH GABRIEL WAGONER PTA (NPI 1164393674) is an individual physical therapy assistant in Statesville, North Carolina, licensed in North Carolina (A8675) and active in the NPI registry since September 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kenneth Wagoner's NPI number?
The NPI number for Kenneth Wagoner is 1164393674. It was assigned to this individual provider in the NPPES registry on September 16, 2025.
Where is Kenneth Wagoner located?
Kenneth Wagoner practices at 1845 E Broad St, Statesville, NC 28625. The listed phone number is (980) 890-3255.
What is Kenneth Wagoner's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Kenneth Wagoner was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.