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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: August 23, 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
Phone(303) 315-9900
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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.

CHRISTINA ELIZABETH CESARZ PT, DPT
Physical Therapist
2150 STADIUM DRIVE 2ND FLOOR
BOULDER, CO 80309
Boulder County (303) 315-9900
SARAH BURKHARDT
Physical Therapist (Orthopedic)
2150 STADIUM DRIVE 2ND FLOOR
BOULDER, CO 80309
Boulder County (303) 332-1880

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.

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 20 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.