Andrew Thomas Wagner, PT ATC
NPI 1427130814ActiveIndividual· Physical Therapist· Leo, IN
Physical Therapist (PT ATC) in Leo, Indiana, trained at Washington University School of Medicine (class of 2002). Medicare paid $37,348 for services to 65 patients in 2024.
Overview
| NPI | 1427130814 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT ATC |
| Sole proprietor | No |
| NPI issued | Oct 19, 2006 |
| Last updated in NPPES | May 11, 2026 |
| Certified by provider | May 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 05007988A | IN |
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 (IN); Practitioner - Physical Therapist in Private Practice (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 65 |
|---|---|
| Services billed | 1,787 across 7 procedure codes |
| Paid by Medicare | $37,348 |
Education and affiliations
| Medical school | Washington University School of Medicine |
|---|---|
| Graduation year | 2002 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Choice Physical TherapyAuburn, IN · 9 clinicians
- Choice Physical Therapy Southwest LLCNorth Manchester, IN · 2 clinicians
Other Physical Therapist providers in Leo
- 1538866066
- 1174080055