Kimberly Wagner, DPT
NPI 1104176593 · Pediatric Physical Therapist · Henderson, NV
Kimberly Wagner, DPT is a Pediatric Physical Therapist provider in Henderson, NV (NPI 1104176593).
Provider details
- NPI number
- 1104176593
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 2757 (NV)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-09-13
- Last updated
- 2019-09-30
Frequently asked questions
- What is Kimberly Wagner's NPI number?
- Kimberly Wagner's National Provider Identifier (NPI) is 1104176593, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Wagner's specialty?
- Kimberly Wagner is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kimberly Wagner located?
- Kimberly Wagner's practice location on file with NPPES is 750 Coronado Center Dr, Henderson, NV 89052-5034.
- What is Kimberly Wagner's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Wagner is (702) 564-4116.
- Is Kimberly Wagner's NPI active?
- Yes — Kimberly Wagner's NPI (1104176593) is active in the NPPES registry as of the last update on 2019-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.