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ALICIA WAGNER DPT
NPI 1235737966
Physical Therapist - Orthopedic in Glendale, CA

Active since October 14, 2020Accepts Medicare Assignment
1000 N CENTRAL AVE STE 110, GLENDALE, CA 91202(818) 243-8422 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2021, Oct 14, 2020 (2 updates tracked since 2020).

About Alicia Wagner Dpt NPPES

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

ALICIA WAGNER DPT (NPI 1235737966) is an individual orthopedic provider in Glendale, California, licensed in California (298900) and active in the NPI registry since October 2020. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1235737966
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameALICIA WAGNERCredential: DPT
Location Address1000 N CENTRAL AVE STE 110Glendale, CA 91202-3685
Mailing Address1616 Hanging Rock AveMontebello, CA 90640-2124 · (323) 683-7042
Phone(818) 243-8422
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 14, 2020
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
NPPES CertifiedOctober 14, 2020
✔ NPI 1235737966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CA · 298900
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
1000 N CENTRAL AVE STE 110, Glendale, CA 91202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alicia Wagner Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517378532
PECOS Enrollment IDI20201124001228

Medicare Billing Reassignment

Medicare enrollment records show Alicia Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Usc Care Medical Group, Inc
7.4 mi
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
NPI 1902846306 (323) 442-5955

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

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

ALEXANDER MOUKHTARIAN
Physical Therapist
1000 N CENTRAL AVE STE 110
GLENDALE, CA 91202
Los Angeles County (818) 243-8422
NICHOLAS DAVID SEIM PT, DPT
Physical Therapist
1000 N CENTRAL AVE STE 110
GLENDALE, CA 91202
Los Angeles County (310) 480-2626
KATHLEEN LIU
Occupational Therapist
1000 N CENTRAL AVE STE 110
GLENDALE, CA 91202
Los Angeles County (818) 243-8422
JULIANE MORADO PTA
Physical Therapy Assistant
1000 N CENTRAL AVE STE 110
GLENDALE, CA 91202
Los Angeles County (818) 243-8422
KENNETH MARK NIEDO CRUZ PTA
Physical Therapy Assistant
1000 N CENTRAL AVE STE 110
GLENDALE, CA 91202
Los Angeles County (818) 243-8422
MRS. HEATHER MARIE ANDERSEN MPT
Physical Therapist
1000 N CENTRAL AVE STE 110
GLENDALE, CA 91202
Los Angeles County (818) 243-8422
RANDALL YPARRAGUIRRE DE LEON
Physical Therapy Assistant
1000 N CENTRAL AVE STE 110
GLENDALE, CA 91202
Los Angeles County (818) 243-8422
EDWARD PHILIP DEGUZMAN ESCOBAR PTA
Physical Therapy Assistant
1000 N CENTRAL AVE STE 110
GLENDALE, CA 91202
Los Angeles County (818) 243-8422

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 Alicia Wagner's NPI number?

The NPI number for Alicia Wagner is 1235737966. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Where is Alicia Wagner located?

Alicia Wagner practices at 1000 N Central Ave Ste 110, Glendale, CA 91202. The listed phone number is (818) 243-8422.

What is Alicia Wagner's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Alicia Wagner enrolled in Medicare?

Yes. Alicia Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Alicia Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Wagner reassigns Medicare benefits to Usc Care Medical Group, Inc (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alicia Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alicia Wagner was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.