Kerry Grimes Wagner, MPT
Physical Therapist · San Clemente, CA
Kerry Grimes Wagner, MPT is a physical therapist with a practice address in San Clemente, California, and NPI 1194049056, issued on Mar 22, 2010. Check the license (California PT 24160, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kerry Grimes Wagner
- Credential
- MPT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- PT 24160 CA
Self-reported in NPPES; status is on the state search - Practice location
- 1120 Via Callejon Ste B, San Clemente, CA 92673
- Phone
- (949) 481-1095
- Enumerated
- Mar 22, 2010
- Record last updated
- Dec 22, 2011 (not updated in 15 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20111220000773); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 22,531 in California → Look up another NPI →
Also registered at 1120 Via Callejon Ste B
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Betsy Aasland, MS, O.T.R.Pediatric Occupational Therapist1740301647
- Tala Brinderson, M.S. OTR/LPediatric Occupational Therapist1730498429
- Amanda Fink, OTR/LSpecialist1275814378
- Jaclyn Fowle, MS OTR/LOccupational Therapist1992935431
- Stacy Goldfield, SPASpeech-Language Assistant1831413699
- Ashley Mancino, SLPASpeech-Language Assistant1720416522
Verify Kerry Grimes Wagner in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license PT 24160Check 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
- One Choice Physical Therapy IncRancho Santa Margarita, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kerry Grimes Wagner among 22,531 physical therapist records in California
Kerry Grimes Wagner, MPT is one of 22,531 physical therapist records with a practice address in California. 32% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 33% of them.
- NPI issued2010 · 33% of these records are older, 64% newer
- In a Medicare fileYes · 32% of these records are
- In the CMS Doctors and Clinicians fileYes · 34% of these records are
- Graduated1998 · median 2017 among the 7,751 with a school on file
- Record last updated2011 · 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 California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
60 physical therapist records list a practice address in San Clemente
They are 60 of the 969 NPPES records with a practice address in San Clemente, and 22,531 physical therapist records in California.
All 22,531 in California → Every provider in San Clemente → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Jacqueline Alm, PTSan Clemente, CA 926731003998774
- Danielle ChapmanSan Clemente, CA 926731124159108
- Jay Cost, PTSan Clemente, CA 926731831202522
- Tim Cowell, P.T.San Clemente, CA 926731952467201
- Maren George, PTSan Clemente, CA 926731881650679
- Beverly GoodmanSan Clemente, CA 926731851482590
- Makenzie Heisdorf, DPTSan Clemente, CA 926731104861327
- Jon Marchese, P.T.San Clemente, CA 926731780769190
Common questions
What is Kerry Grimes Wagner, MPT's NPI number?
Kerry Grimes Wagner, MPT's National Provider Identifier (NPI) is 1194049056, issued on Mar 22, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Kerry Grimes Wagner, MPT located?
The NPPES record lists a practice address at 1120 Via Callejon Ste B, San Clemente, CA, 92673. Phone: (949) 481-1095. Providers update this record themselves, so call before visiting.
How can I verify Kerry Grimes Wagner, MPT's license?
NPPES lists California license number PT 24160, as entered by the provider. Search the California 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.