Kerry Grimes Wagner, MPT
NPI 1194049056ActiveIndividual· Physical Therapist· San Clemente, CA
Physical Therapist (MPT) with One Choice Physical Therapy Inc, practicing in San Clemente, California. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1194049056 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPT |
| Sole proprietor | No |
| NPI issued | Mar 22, 2010 |
| Last updated in NPPES | Dec 22, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT 24160 | CA |
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 (CA) |
|---|
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- One Choice Physical Therapy IncRancho Santa Margarita, CA · 8 clinicians
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All 73 physical therapists in San Clemente · All physical therapists in California