Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MR. MICHAEL T WAGNON
Active
Individual
MR. MICHAEL T WAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3047
NM
225100000X
Physical Therapist
Primary
9520
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021706
KAISER COMMERCIAL NUMBER
CO
05
—
61238341
—
CO
Enumeration date
05/10/2006
Last updated
05/20/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up