IndividualActive
Philip Wagener
NPI 1194153577 · Physical Therapy Assistant · Owings Mills, MD
Provider details
- NPI number
- 1194153577
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- A2516 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
4730 Atrium Ct
Owings Mills, MD 21117-3556
Phone: (410) 363-4790
Street-level locationGet directions
Mailing address
870 Driver Rd
Marriottsville, MD 21104-1325
Registry dates
- Enumerated
- 2013-10-23
- Last updated
- 2013-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.