IndividualActive
Jodee Wagner, PT
NPI 1760715510 · Physical Therapist · Pennsville, NJ
Provider details
- NPI number
- 1760715510
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 40QA01004500 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
111 S Broadway
Pennsville, NJ 08070-2038
Phone: (856) 678-4701
Street-level locationGet directions
Mailing address
3 Caroline Ct
Pilesgrove, NJ 08098-2741
Registry dates
- Enumerated
- 2009-09-11
- Last updated
- 2009-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.