Kellie Wagner, PT, DPT, CSCS
NPI 1144539461 · Physical Therapist · Beaver Dam, WI
Kellie Wagner, PT, DPT, CSCS is a Physical Therapist provider in Beaver Dam, WI (NPI 1144539461).
Provider details
- NPI number
- 1144539461
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, CSCS
- Sex
- Female
- Sole proprietor
- No
- License
- 11507-24 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-10-04
- Last updated
- 2010-10-04
Frequently asked questions
- What is Kellie Wagner's NPI number?
- Kellie Wagner's National Provider Identifier (NPI) is 1144539461, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellie Wagner's specialty?
- Kellie Wagner is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kellie Wagner located?
- Kellie Wagner's practice location on file with NPPES is 1223 Madison St, Beaver Dam, WI 53916-2629.
- What is Kellie Wagner's phone number?
- The practice phone number listed in the NPPES registry for Kellie Wagner is (920) 885-4750.
- Is Kellie Wagner's NPI active?
- Yes — Kellie Wagner's NPI (1144539461) is active in the NPPES registry as of the last update on 2010-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.