KARYN ELIZABETH WAGNER
NPI 1104719970
Physical Therapist - Pediatrics in Indianapolis, IN

Active since May 31, 2025
6330 E 75TH ST STE 206, INDIANAPOLIS, IN 46250(317) 284-1166 Get Directions Write a Review

NPPES record last updated: May 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karyn Elizabeth Wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KARYN ELIZABETH WAGNER (NPI 1104719970) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (05008732A) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1104719970
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameKARYN ELIZABETH WAGNER
Location Address6330 E 75TH ST STE 206Indianapolis, IN 46250-2700
Mailing Address1385 Jeffrey Ct WCarmel, IN 46032-1278 · (317) 403-7997
Sole ProprietorYes
Enumeration DateMay 31, 2025
NPPES CertifiedMay 31, 2025
NPI 1104719970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in IN · 05008732A
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
6330 E 75TH ST STE 206, Indianapolis, IN 46250

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
6330 E 75TH ST STE 206
INDIANAPOLIS, IN 46250
Speech-Language Pathologist
6330 E 75TH ST STE 206
INDIANAPOLIS, IN 46250
Occupational Therapist
6330 E 75TH ST STE 206
INDIANAPOLIS, IN 46250
Occupational Therapist
6330 E 75TH ST STE 206
INDIANAPOLIS, IN 46250
Occupational Therapist
6330 E 75TH ST STE 206
INDIANAPOLIS, IN 46250
Developmental Therapist
6330 E 75TH ST STE 206
INDIANAPOLIS, IN 46250
Speech-Language Pathologist
6330 E 75TH ST STE 206
INDIANAPOLIS, IN 46250
Speech-Language Pathologist
6330 E 75TH ST STE 206
INDIANAPOLIS, IN 46250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karyn Wagner's NPI number?

The NPI number for Karyn Wagner is 1104719970. It was assigned to this individual provider in the NPPES registry on May 31, 2025.

Where is Karyn Wagner located?

Karyn Wagner practices at 6330 E 75th St Ste 206, Indianapolis, IN 46250. The listed phone number is (317) 284-1166.

What is Karyn Wagner's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Karyn Wagner was last updated on May 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.