Jack Wagner
NPI 1962398131 · Physical Therapist · Indianapolis, IN
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Wagner is a Physical Therapist provider in Indianapolis, IN (NPI 1962398131).
Provider details
- NPI number
- 1962398131
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 05016107A (IN)
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
1 yr 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
- 2025-06-16
- Last updated
- 2025-08-08
- Certified
- 2025-08-08
Frequently asked questions
- What is Jack Wagner's NPI number?
- Jack Wagner's National Provider Identifier (NPI) is 1962398131, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Wagner's specialty?
- Jack Wagner is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jack Wagner located?
- Jack Wagner's practice location on file with NPPES is 8628 Purdue Rd, Indianapolis, IN 46268-1114.
- What is Jack Wagner's phone number?
- The practice phone number listed in the NPPES registry for Jack Wagner is (317) 677-0660.
- Does Jack Wagner accept Medicare?
- Jack Wagner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Wagner's NPI active?
- Yes — Jack Wagner's NPI (1962398131) is active in the NPPES registry as of the last update on 2025-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.