Jacklyn Marie Wagner, PT, DPT, ATC
Physical Therapist · South Portland, ME
Jacklyn Marie Wagner, PT, DPT, ATC is a physical therapist with a practice address in South Portland, Maine, and NPI 1659745073, issued on Nov 23, 2015. Check the license (Maine PT5423, as entered in NPPES) with the Maine board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacklyn Marie Wagner
- Credential
- PT, DPT, ATC
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- PT5423 ME
Self-reported in NPPES; status is on the state search - Practice location
- 50 Foden Road, South Portland, ME 04106
- Phone
- (207) 780-8860
- Enumerated
- Nov 23, 2015
- Record last updated
- Jul 21, 2026
- Medicare enrollment
- Enrolled (PECOS I20191118000081); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 1,682 in Maine → Look up another NPI →
Also registered at 50 Foden Road
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Rebecca Cummings, DPTPhysical Therapist1487460853
- Gregory Mills, DPTPhysical Therapist1417521022
Verify Jacklyn Marie Wagner in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Maine board licenses this profession
Search for license PT5423Check 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
- Intermed PASouth Portland, ME
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacklyn Marie Wagner among 1,682 physical therapist records in Maine
Jacklyn Marie Wagner, PT, DPT, ATC is one of 1,682 physical therapist records with a practice address in Maine. 29% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 48% of them.
- NPI issued2015 · 48% of these records are older, 46% newer
- In a Medicare fileYes · 29% of these records are
- In the CMS Doctors and Clinicians fileYes · 32% of these records are
- Graduated2015 · median 2015 among the 534 with a school on file
- Record last updated2026 · 62% 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 Maine practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
86 physical therapist records list a practice address in South Portland
They are 86 of the 1,143 NPPES records with a practice address in South Portland, and 1,682 physical therapist records in Maine.
All 1,682 in Maine → Every provider in South Portland → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Todd Albee, PTSouth Portland, ME 041061306815519
- Jessica Asher, PTSouth Portland, ME 041061598718264
- Melissa Belcher, PTSouth Portland, ME 041061982637526
- Ryan Brown, MPTSouth Portland, ME 041061225023476
- Paul Brown, P.T.South Portland, ME 041061710934815
- Kate Buzzell, PTSouth Portland, ME 041061134129968
- Todd Castonguay, PTSouth Portland, ME 041061598790214
- Lenora Dolewa, PTSouth Portland, ME 041061215937040
Common questions
What is Jacklyn Marie Wagner, PT, DPT, ATC's NPI number?
Jacklyn Marie Wagner, PT, DPT, ATC's National Provider Identifier (NPI) is 1659745073, issued on Nov 23, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Jacklyn Marie Wagner, PT, DPT, ATC located?
The NPPES record lists a practice address at 50 Foden Road, South Portland, ME, 04106. Phone: (207) 780-8860. Providers update this record themselves, so call before visiting.
How can I verify Jacklyn Marie Wagner, PT, DPT, ATC's license?
NPPES lists Maine license number PT5423, as entered by the provider. Search the Maine 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.