P Praxis·MD
● Active Type 1 · Individual

MR. Joshua James Wageman, PA-C, DPT, CSCS

Physician Assistant·Eagle, ID· NPI 1770925257 · Enumerated 2013 · 12 years on NPI
Wageman is 1 of 23 physician assistant providers in Eagle and 1 of 1263 in Idaho.
NPI age
12 years
Enumerated 2013-07-24
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-03-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1263 active physician assistant providers in Idaho.

NPI age
12 years
↑ 3 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
1
In the 35% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-07Enumerated in NPPES
2013 2026

Where they practice

Practice location
951 E Plaza Dr Ste 110
Eagle, ID 836166567
📞 2082749580
Mailing address
5049 E Geranium St
Boise, ID 837167044
📞 2088701882

Additional practice locations

1 secondary location on file with NPPES.

Location 2
13909 W Wainwright Dr
Boise, ID 837131969
📞 2083892213

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    ID license #PA-1896 taxonomy 363A00000X
  • Physical Therapist
    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...
    ID license #PT-3184 taxonomy 225100000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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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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