Kerry Wagner, MPT
NPI 1194049056 · Physical Therapist · San Clemente, CA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kerry Wagner, MPT is a Physical Therapist provider in San Clemente, CA (NPI 1194049056).
Provider details
- NPI number
- 1194049056
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPT
- Sex
- Female
- Sole proprietor
- No
- License
- PT 24160 (CA)
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
16 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
- 2010-03-22
- Last updated
- 2011-12-22
Frequently asked questions
- What is Kerry Wagner's NPI number?
- Kerry Wagner's National Provider Identifier (NPI) is 1194049056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kerry Wagner's specialty?
- Kerry Wagner is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kerry Wagner located?
- Kerry Wagner's practice location on file with NPPES is 1120 Via Callejon Ste B, San Clemente, CA 92673-6264.
- What is Kerry Wagner's phone number?
- The practice phone number listed in the NPPES registry for Kerry Wagner is (949) 481-1095.
- Does Kerry Wagner accept Medicare?
- Kerry Wagner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kerry Wagner's NPI active?
- Yes — Kerry Wagner's NPI (1194049056) is active in the NPPES registry as of the last update on 2011-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.