Jack Wagner
Physical Therapist · Indianapolis, IN
Jack Wagner is a physical therapist with a practice address in Indianapolis, Indiana, and NPI 1962398131, issued on Jun 16, 2025. Check the license (Indiana 05016107A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jack Wagner
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 05016107A IN
Self-reported in NPPES; status is on the state search - Practice location
- 8628 Purdue RD, Indianapolis, IN 46268
- Phone
- (317) 677-0660
- Enumerated
- Jun 16, 2025
- Record last updated
- Aug 8, 2025
- Fax
- (317) 667-0640
- Medicare enrollment
- Enrolled (PECOS I20250903000314); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 4,894 in Indiana → Look up another NPI →
Also registered at 8628 Purdue RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ursula Booth, P.T.Physical Therapist1962607879
- James Estes, PTPhysical Therapist1710568282
- Reagan Helt, DPTPhysical Therapist1235028325
- Kevin Lee, DPTPhysical Therapist1336885417
- William McQueen, PTAPhysical Therapy Assistant1558282947
- Destiny MyersPhysical Therapist1083481386
Verify Jack Wagner in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 05016107ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Team Rehabilitation Services LLCIndianapolis, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jack Wagner among 4,894 physical therapist records in Indiana
Jack Wagner is one of 4,894 physical therapist records with a practice address in Indiana. 31% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 92% of them.
- NPI issued2025 · 92% of these records are older, 3% newer
- In a Medicare fileYes · 31% of these records are
- In the CMS Doctors and Clinicians fileYes · 31% of these records are
- Graduated2025 · median 2015 among the 1,533 with a school on file
- Record last updated2025 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
838 physical therapist records list a practice address in Indianapolis
They are 838 of the 30,493 NPPES records with a practice address in Indianapolis, and 4,894 physical therapist records in Indiana.
All 4,894 in Indiana → Every provider in Indianapolis → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Ursula Booth, P.T.Indianapolis, IN 462681962607879
- Vishnu Boyapati, PHYSICAL THERAPISTIndianapolis, IN 462681417111923
- Robert Haan, P.T.Indianapolis, IN 462681073842449
- Polly Hines, PHYSICAL THERAPISTIndianapolis, IN 462681639180102
- Susan Johnson, PTIndianapolis, IN 462681598124653
- Elizabeth Judd, PTIndpls, IN 462681073689329
- Leanne Lafuze, PTIndianapolis, IN 462681124129028
- Michelle Newsome, PTIndianapolis, IN 462681215054333
Common questions
What is Jack Wagner's NPI number?
Jack Wagner's National Provider Identifier (NPI) is 1962398131, issued on Jun 16, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Jack Wagner located?
The NPPES record lists a practice address at 8628 Purdue RD, Indianapolis, IN, 46268. Phone: (317) 677-0660. Providers update this record themselves, so call before visiting.
How can I verify Jack Wagner's license?
NPPES lists Indiana license number 05016107A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.