Adrian Wagner, DPT
NPI 1639302995ActiveIndividual· Physical Therapist· Olympia Fields, IL
Physical Therapist (DPT) in Olympia Fields, Illinois, licensed in IL and NY, with an NPI issued in September 2009.
Overview
| NPI | 1639302995 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Sep 2, 2009 |
| Last updated in NPPES | Sep 2, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070.017317 | IL |
| Physical Therapist | 225100000X | 031554-1 | NY |
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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All 19 physical therapists in Olympia Fields · All physical therapists in Illinois