IndividualActive
Alicia Wagner, DPT
NPI 1235737966 · Orthopedic Physical Therapist · Glendale, CA
Provider details
- NPI number
- 1235737966
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 298900 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1000 N Central Ave Ste 110
Glendale, CA 91202-3685
Phone: (818) 243-8422
Street-level locationGet directions
Mailing address
1616 Hanging Rock Ave
Montebello, CA 90640-2124
Registry dates
- Enumerated
- 2020-10-14
- Last updated
- 2021-12-06
- Certified
- 2020-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.