STACY SMITH WAGNER MPT
NPI 1801188750
Physical Therapist in New Haven, CT

Active since May 11, 2011Accepts Medicare Assignment
1481 CHAPEL ST, NEW HAVEN, CT 06511(203) 776-9110(203) 777-5879 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 12, 2019, Aug 30, 2016 (2 updates tracked since 2016).

About Stacy Smith Wagner Mpt NPPES

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

STACY SMITH WAGNER MPT (NPI 1801188750) is an individual physical therapist in New Haven, Connecticut, licensed in Connecticut (9052) and active in the NPI registry since May 2011. She maintains a secondary practice location in Groton and is a graduate of Other (1999).

NPPES Registry Identity

NPI1801188750
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameSTACY SMITH WAGNERCredential: MPT
Location Address1481 CHAPEL STNew Haven, CT 06511
Mailing Address1481 Chapel StNew Haven, CT 06511-4305 · (203) 776-9110 · Fax (203) 777-5879
Fax(203) 777-5879
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 11, 2011
Last NPPES UpdateDecember 18, 20232 updates tracked since enumeration
NPPES CertifiedDecember 18, 2023
✔ NPI 1801188750 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 CT · 9052
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.
1481 CHAPEL ST, New Haven, CT 06511

Secondary Practice Location 1

Location 1481 Gold Star Hwy, Suite 302Groton, CT 06340-6702 · Phone (860) 446-8254 · Fax (860) 446-8293

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

Stacy Smith Wagner Mpt 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 ID8729265053
PECOS Enrollment IDI20110614000022

Medicare Billing Reassignments

3

Medicare enrollment records show Stacy Wagner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
1481 CHAPEL ST
New Haven, CT 06511
  • Reassigned Medicare billing, Connecticut enrollment
  • 4 clinicians in this Medicare group
Physical Therapy
285 NICOLL ST
New Haven, CT 06511
  • Reassigned Medicare billing, Connecticut enrollment
  • 101 clinicians in this Medicare group
Rehabilitation
1291 BOSTON POST RD
Madison, CT 06443
  • Reassigned Medicare billing, Connecticut enrollment
  • 22 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Physical Therapist
1481 CHAPEL ST
NEW HAVEN, CT 06511
Orthopaedic Surgery
1481 CHAPEL ST
NEW HAVEN, CT 06511
Orthopaedic Surgery
1481 CHAPEL ST
NEW HAVEN, CT 06511
Specialist
1481 CHAPEL ST
NEW HAVEN, CT 06511
Physical Therapist
1481 CHAPEL ST
NEW HAVEN, CT 06511

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 Stacy Wagner's NPI number?

The NPI number for Stacy Wagner is 1801188750. It was assigned to this individual provider in the NPPES registry on May 11, 2011.

Where is Stacy Wagner located?

Stacy Wagner practices at 1481 Chapel St, New Haven, CT 06511. The listed phone number is (203) 776-9110.

What is Stacy Wagner's specialty?

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

Is Stacy Wagner enrolled in Medicare?

Yes. Stacy 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 organizations bill Medicare for Stacy Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Wagner reassigns Medicare benefits to 3 organizations: Orthopaedic Surgeons PC (New Haven, CT), Ptsma, Inc. (New Haven, CT) and Madison Rehabilitation Center Inc (Madison, CT). Each 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 Stacy Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield list Stacy 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 Stacy Wagner was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.