Kevin Matthew Wagner, MD PT CERT MDT
NPI 1295735926ActiveIndividual· Physical Therapist· Bridgeton, MO
Physical Therapist (MD PT CERT MDT) in Bridgeton, Missouri, licensed in MO, with an NPI issued in July 2005.
Overview
| NPI | 1295735926 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD PT CERT MDT |
| Sole proprietor | No |
| NPI issued | Jul 22, 2005 |
| Last updated in NPPES | Apr 29, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 115026 | MO |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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