NPI age
16 years
Enumerated 2010-01-20
● Active
Type 1 · Individual
MRS. Kelly Danielle Wagner, PTA
Wagner is 1 of 5 physical therapy assistant providers in Brunswick and 1 of 1124 in Georgia.
Primary specialty
Physical Therapy Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-12-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1124 active physical therapy assistant providers in Georgia.
NPI age
16 years
↑ 7 yr above median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties
NPI lifetime · 2010 → 2026
2010-01Enumerated in NPPES
2010
2026
Where they practice
Practice location
226 Fish Hall Rd
Brunswick, GA 315237405
Mailing address
226 Fish Hall Rd
Brunswick, GA 315237405
Specialties
-
Physical Therapy Assistant Primary(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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