MRS. JENNIFER LEE WAGONER P.T.
NPI 1861785206
Physical Therapist in Macomb, IL

Active since May 18, 2011Accepts Medicare Assignment
505 E GRANT ST, MACOMB, IL 61455(309) 833-1733 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jennifer Lee Wagoner P.t. NPPES

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

MRS. JENNIFER LEE WAGONER P.T. (NPI 1861785206) is an individual physical therapist in Macomb, Illinois, licensed in Illinois (070015942) and active in the NPI registry since May 2011. She maintains a secondary practice location in Cuba and is a graduate of Other (2007).

NPPES Registry Identity

NPI1861785206
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. JENNIFER LEE WAGONERCredential: P.T.
Location Address505 E GRANT STMacomb, IL 61455-3352
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 18, 2011
Last NPPES UpdateFebruary 10, 2022
NPPES CertifiedFebruary 10, 2022
NPI 1861785206 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 IL · 070015942
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.
505 E GRANT ST, Macomb, IL 61455

Secondary Practice Location 1

Location 1625 E Monroe StCuba, IL 61427-5109 · Phone (309) 785-5012

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

Mrs. Jennifer Lee Wagoner P.t. 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 ID2860887858
PECOS Enrollment IDI20220309001004

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,340 services91 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
139 services12 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
127 services34 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
93 services82 patients
Repositioning exercises of head for treatment of dizziness, each day 95992
Repositioning exercises of the head help manage dizziness by training your brain to cope with the signals that trigger this sensation. Daily, gentle movements of the head and body can reduce symptoms and improve balance.
62 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61455 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 20

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

Obstetrics & Gynecology
505 E GRANT ST
MACOMB, IL 61455
Advanced Practice Midwife
505 E GRANT ST
MACOMB, IL 61455
Family Medicine
505 E GRANT ST, SUITE 202
MACOMB, IL 61455
Family Medicine
505 E GRANT ST, SUITE 110
MACOMB, IL 61455
Orthopaedic Surgery
505 E GRANT ST, SUITE 205
MACOMB, IL 61455
Ophthalmology
505 E GRANT ST, STE 206
MACOMB, IL 61455
Family Medicine
505 E GRANT ST, SUITE 110 FAMILY PRACTICE ASSOCIATES OF MACOMB LTD
MACOMB, IL 61455
Clinical Medical Laboratory
505 E GRANT ST
MACOMB, IL 61455

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 Jennifer Wagoner's NPI number?

The NPI number for Jennifer Wagoner is 1861785206. It was assigned to this individual provider in the NPPES registry on May 18, 2011.

Where is Jennifer Wagoner located?

Jennifer Wagoner practices at 505 E Grant St, Macomb, IL 61455. The listed phone number is (309) 833-1733.

What is Jennifer Wagoner's specialty?

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

Is Jennifer Wagoner enrolled in Medicare?

Yes. Jennifer Wagoner 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 Jennifer Wagoner was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.