KYLE WAGNER DPT
NPI 1427709492
Physical Medicine & Rehabilitation in Jacksonville, FL

Active since January 12, 2022Accepts Medicare Assignment
10261 INNOVATION WAY, JACKSONVILLE, FL 32256(904) 853-1030 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 21, 2025, Jan 12, 2022 (2 updates tracked since 2022).

About Kyle Wagner Dpt NPPES

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

KYLE WAGNER DPT (NPI 1427709492) is an individual physical medicine & rehabilitation provider in Jacksonville, Florida, licensed in Florida (PT38044) and active in the NPI registry since January 2022. He is a graduate of Other (2019).

NPPES Registry Identity

NPI1427709492
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameKYLE WAGNERCredential: DPT
Location Address10261 INNOVATION WAYJacksonville, FL 32256
Mailing Address10261 Innovation WayJacksonville, FL 32256 · (900) 853-1030
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 12, 2022
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 2, 2025
✔ NPI 1427709492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in FL · PT38044
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
10261 INNOVATION WAY, Jacksonville, FL 32256

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle Wagner Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365836657
PECOS Enrollment IDI20220302002555

Medicare Billing Reassignment

Medicare enrollment records show Kyle Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
10261 INNOVATION WAY
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

Clinic/Center
10261 INNOVATION WAY
JACKSONVILLE, FL 32256
Occupational Therapist
10261 INNOVATION WAY
JACKSONVILLE, FL 32256
Occupational Therapist
10261 INNOVATION WAY
JACKSONVILLE, FL 32256
Occupational Therapist
10261 INNOVATION WAY
JACKSONVILLE, FL 32256

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 Kyle Wagner's NPI number?

The NPI number for Kyle Wagner is 1427709492. It was assigned to this individual provider in the NPPES registry on January 12, 2022.

Where is Kyle Wagner located?

Kyle Wagner practices at 10261 Innovation Way, Jacksonville, FL 32256. The listed phone number is (904) 853-1030.

What is Kyle Wagner's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Kyle Wagner enrolled in Medicare?

Yes. Kyle Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kyle Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Wagner reassigns Medicare benefits to Functional Homes And Bodies (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Wagner accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and Wellpoint list Kyle Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle Wagner was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.