MR. KEVIN MATTHEW WAGNER MD PT CERT MDT
NPI 1295735926
Physical Therapist in Bridgeton, MO

Active since July 22, 2005
11903 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044(314) 770-0900(314) 770-1673 Get Directions Write a Review

NPPES record last updated: April 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kevin Matthew Wagner Md Pt Cert Mdt NPPES

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

MR. KEVIN MATTHEW WAGNER MD PT CERT MDT (NPI 1295735926) is an individual physical therapist in Bridgeton, Missouri, licensed in Missouri (115026) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1295735926
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. KEVIN MATTHEW WAGNERCredential: MD PT CERT MDT
Location Address11903 SAINT CHARLES ROCK RDBridgeton, MO 63044-2623
Mailing AddressBack Pain Institute Of St. Louis Llc, 11903 St. Charles Rock Rd.Bridgeton, MO 63044 · (314) 770-0900 · Fax (314) 739-8569
Fax(314) 770-1673
Sole ProprietorNo
Enumeration DateJuly 22, 2005
Last NPPES UpdateApril 29, 2010
NPI 1295735926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MO · 115026
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
11903 SAINT CHARLES ROCK RD, Bridgeton, MO 63044

Other Identifiers 1

Medicare ID-Type Unspecified219461637MO

Other Providers at the Same Location NPPES 9

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

Internal Medicine
11903 SAINT CHARLES ROCK RD
BRIDGETON, MO 63044
Internal Medicine
11903 SAINT CHARLES ROCK RD
BRIDGETON, MO 63044
Chiropractor
11903 SAINT CHARLES ROCK RD
BRIDGETON, MO 63044
Technician, Other
11903 SAINT CHARLES ROCK RD
BRIDGETON, MO 63044
Technician, Other
11903 SAINT CHARLES ROCK RD
BRIDGETON, MO 63044
General Practice
11903 SAINT CHARLES ROCK RD
BRIDGETON, MO 63044
Technician, Other
11903 SAINT CHARLES ROCK RD
BRIDGETON, MO 63044
Registered Nurse (Pain Management)
11903 SAINT CHARLES ROCK RD, BACK PAIN INSTITUTE OF ST. LOUIS LLC
BRIDGETON, MO 63044

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 Kevin Wagner's NPI number?

The NPI number for Kevin Wagner is 1295735926. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Kevin Wagner located?

Kevin Wagner practices at 11903 Saint Charles Rock Rd, Bridgeton, MO 63044. The listed phone number is (314) 770-0900.

What is Kevin Wagner's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Kevin Wagner was last updated on April 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.