DR. DYLAN KURT WAGNER PT, DPT
NPI 1831907708
Physical Therapist - Orthopedic in Boulder, CO

Active since December 24, 2024Accepts Medicare Assignment
2150 STADIUM DRIVE 2ND FLOOR, BOULDER, CO 80309(303) 315-9900 Get Directions Write a Review

NPPES record last updated: December 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Dylan Kurt Wagner Pt, Dpt NPPES

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

DR. DYLAN KURT WAGNER PT, DPT (NPI 1831907708) is an individual orthopedic provider in Boulder, Colorado, licensed in Colorado (PTL0020298) and active in the NPI registry since December 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1831907708
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameDR. DYLAN KURT WAGNERCredential: PT, DPT
Location Address2150 STADIUM DRIVE 2ND FLOORBoulder, CO 80309-0001
Mailing Address3553 N Fillmore StDenver, CO 80205-4259 · (321) 412-3404
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 24, 2024
NPPES CertifiedDecember 24, 2024
✔ NPI 1831907708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CO · PTL0020298
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
2150 STADIUM DRIVE 2ND FLOOR, Boulder, CO 80309

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

Dr. Dylan Kurt Wagner Pt, 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 ID4486182763
PECOS Enrollment IDI20250114003529

Medicare Billing Reassignment

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

Physical Therapy
2150 STADIUM DRIVE
Boulder, CO 80309
  • Reassigned Medicare billing, Colorado enrollment
  • 283 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 2

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

Physical Therapist
2150 STADIUM DRIVE 2ND FLOOR
BOULDER, CO 80309
Physical Therapist (Orthopedic)
2150 STADIUM DRIVE 2ND FLOOR
BOULDER, CO 80309

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 Dylan Wagner's NPI number?

The NPI number for Dylan Wagner is 1831907708. It was assigned to this individual provider in the NPPES registry on December 24, 2024.

Where is Dylan Wagner located?

Dylan Wagner practices at 2150 Stadium Drive 2nd Floor, Boulder, CO 80309. The listed phone number is (303) 315-9900.

What is Dylan Wagner's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Dylan Wagner enrolled in Medicare?

Yes. Dylan 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 Dylan Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Wagner reassigns Medicare benefits to Boulder Community Health (Boulder, CO). 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 Dylan Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dylan Wagner accept?

Health plans from Select Health list Dylan 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 Dylan Wagner was last updated on December 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.