IndividualActive
Jordan Wagner
NPI 1760939136 · Student in an Organized Health Care Education/Training Program · Fallston, MD
Provider details
- NPI number
- 1760939136
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% 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
3351 Fallston Rd
Fallston, MD 21047-1020
Phone: (443) 299-8208
Street-level locationGet directions
Mailing address
3351 Fallston Rd
Fallston, MD 21047-1020
Registry dates
- Enumerated
- 2016-09-02
- Last updated
- 2016-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.