JACK WAGNER
NPI 1962398131
Physical Therapist in Indianapolis, IN
About Jack Wagner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK WAGNER (NPI 1962398131) is an individual physical therapist in Indianapolis, Indiana, licensed in Indiana (05016107A) and active in the NPI registry since June 2025. He is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
- 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.
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
Jack Wagner 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.
Medicare Billing Reassignment
Medicare enrollment records show Jack Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kokomo, IN 46902
- Reassigned Medicare billing, Indiana enrollment
- 72 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 46268 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jack Wagner's NPI number?
The NPI number for Jack Wagner is 1962398131. It was assigned to this individual provider in the NPPES registry on June 16, 2025.
Where is Jack Wagner located?
Jack Wagner practices at 8628 Purdue Rd, Indianapolis, IN 46268. The listed phone number is (317) 677-0660.
What is Jack Wagner's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jack Wagner enrolled in Medicare?
Yes. Jack 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 Jack Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Wagner reassigns Medicare benefits to Team Rehabilitation Services, LLC (Kokomo, IN). 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 Jack Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Wagner accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Jack 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 Jack Wagner was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.