Richard D. Wagner Jr., PT CSCS VCS
NPI 1225103476ActiveIndividual· Physical Therapist· Grafton, WI
Physical Therapist (PT CSCS VCS) with Body Renovation Physical Therapy SC, practicing in Grafton, Wisconsin. Medicare paid $16,308 for services to 25 patients in 2024.
Overview
| NPI | 1225103476 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT CSCS VCS |
| Sole proprietor | No |
| NPI issued | Nov 22, 2006 |
| Last updated in NPPES | Jan 30, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5865024 | WI |
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 (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 809 across 7 procedure codes |
| Paid by Medicare | $16,308 |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Body Renovation Physical Therapy SCMequon, WI · 15 clinicians
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All 43 physical therapists in Grafton · All physical therapists in Wisconsin