Charles Ay Wagner, RN, DPT
NPI 1134326549ActiveIndividual· Physical Therapist· Hilo, HI
Physical Therapist (RN, DPT) with Core Wellness Hawaii LLC, practicing in Hilo, Hawaii. Medicare paid $53,578 for services to 112 patients in 2024.
Overview
| NPI | 1134326549 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN, DPT |
| Sole proprietor | No |
| NPI issued | Jun 29, 2007 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT 2674 | HI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (HI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 112 |
|---|---|
| Services billed | 2,682 across 8 procedure codes |
| Paid by Medicare | $53,578 |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Core Wellness Hawaii LLCHilo, HI · 7 clinicians
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