P Praxis·MD
● Active Type 1 · Individual

Gina L Wagner, PT

Physical Therapist·Tyler, TX· NPI 1447434980 · Enumerated 2007 · 18 years on NPI
Wagner is 1 of 131 physical therapist providers in Tyler and 1 of 16582 in Texas.
NPI age
18 years
Enumerated 2007-12-19
Primary specialty
Physical Therapist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-12-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 16582 active physical therapist providers in Texas.

NPI age
18 years
↑ 9 yr above median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-12Enumerated in NPPES
2007 2026

Where they practice

Practice location
4135 S Broadway Ave
Tyler, TX 757018720
📞 7132977000fax 7132977090
Mailing address
4135 S Broadway Ave
Tyler, TX 757018720
📞 7132977000fax 7132977090

Specialties

  • Physical Therapist Primary
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    TX license #1105294 taxonomy 225100000X

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new physical therapist providers have been added in Tyler in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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