DR. JESSE WAGNER MD
NPI 1598415358
Physical Medicine & Rehabilitation in Philadelphia, PA
NPI Status: Active since March 25, 2022
Contact Information
833 CHESTNUT ST STE 1220
PHILADELPHIA, PA
ZIP 19107
Phone: (800) 321-9999
Fax: (267) 479-1321
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Male
- Physical Medicine & Rehabilitation
- PECOS Enrolled
About JESSE WAGNER
This page provides the complete NPI Profile along with additional information for Jesse Wagner, a provider established in Philadelphia, Pennsylvania with a medical specialization in Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1598415358 assigned on March 2022. The practitioner's primary taxonomy code is 208100000X with license number MD492598 (PA). The provider is registered as an individual and his NPI record was last updated July 2026.
- NPI
- 1598415358
- Provider Name
- DR. JESSE WAGNER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 833 CHESTNUT ST STE 1220 PHILADELPHIA, PA 19107
- Location Phone
- (800) 321-9999
- Location Fax
- (267) 479-1321
- Mailing Address
- 833 CHESTNUT ST STE 520 PHILADELPHIA, PA 19107
- Mailing Phone
- (609) 677-7003
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-25-2022
- Last Update Date
- 07-01-2026
- Code Navigator
Location Map
Secondary Locations
- 999 Route 73 N Ste 401
Marlton, NJ 08053
(800) 321-9999
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD492598
- License State
- PA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 25MA12921300 (NJ) |
Medicare Participation & PECOS Enrollment Status
Jesse Wagner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1598415358, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598415358, enumerated as an "individual" on March 25, 2022.
The provider is located at 833 CHESTNUT ST STE 1220 PHILADELPHIA, PA 19107 and the phone number is (800) 321-9999.
Physical Medicine & Rehabilitation with taxonomy code 208100000X.