Jacklyn Wagner, PT, DPT, ATC
NPI 1659745073 · Physical Therapist · South Portland, ME
Jacklyn Wagner, PT, DPT, ATC is a Physical Therapist provider in South Portland, ME (NPI 1659745073).
Provider details
- NPI number
- 1659745073
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT, ATC
- Sex
- Female
- Sole proprietor
- No
- License
- PT5423 (ME)
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
10 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
- 2015-11-23
- Last updated
- 2026-03-25
- Certified
- 2026-03-25
Frequently asked questions
- What is Jacklyn Wagner's NPI number?
- Jacklyn Wagner's National Provider Identifier (NPI) is 1659745073, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacklyn Wagner's specialty?
- Jacklyn Wagner is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jacklyn Wagner located?
- Jacklyn Wagner's practice location on file with NPPES is 50 Foden Road, South Portland, ME 04106.
- What is Jacklyn Wagner's phone number?
- The practice phone number listed in the NPPES registry for Jacklyn Wagner is (207) 780-8860.
- Is Jacklyn Wagner's NPI active?
- Yes — Jacklyn Wagner's NPI (1659745073) is active in the NPPES registry as of the last update on 2026-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.