MEDICARE: SARAH MAUREEN WAGNER PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1281017	TX

General Provider Information

NPI Number	:	1487523734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH MAUREEN WAGNER PT, DPT

Provider Business Mailing Address
First Line	:	316 SUMMER POINTE DR
Second Line	:
City	:	BUDA
State	:	TX
Zip	:	78610-5908
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 W HIGHWAY 290 STE A
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-4379
Country	:	US
Telephone Number	:	512-964-1844
Fax Number	:	833-201-5490

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2025
Last Update Date	:	11/04/2025

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