Hailey Lynn Wagner, PT, DPT
NPI 1821602947ActiveIndividual· Physical Therapist· Niceville, FL
Physical Therapist (PT, DPT) with North Florida Surgeons, PA, practicing in Niceville, Florida. Medicare paid $73,304 for services to 104 patients in 2024.
Overview
| NPI | 1821602947 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | Yes |
| NPI issued | Sep 4, 2020 |
| Last updated in NPPES | Feb 21, 2025 |
| Certified by provider | Feb 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT36009 | FL |
| Physical Medicine & Rehabilitation | 208100000X | PT36009 | FL |
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 (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 104 |
|---|---|
| Services billed | 3,788 across 12 procedure codes |
| Paid by Medicare | $73,304 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- North Florida Surgeons, PANew Smyrna Beach, FL · 342 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 46 physical therapists in Niceville · All physical therapists in Florida