Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Kevin Matthew Wagner, MD PT CERT MDT

Physical Therapist in Bridgeton, MO · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295735926

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Registry record

Entity type Individual (Type 1)

Name Mr. Kevin Matthew Wagner

Credential MD PT CERT MDT

Sex Male

Practice address 11903 Saint Charles Rock Rd, Bridgeton, MO, 63044

Phone (314) 770-0900

Fax (314) 770-1673

Enumeration date Jul 22, 2005

Last updated in NPPES Apr 29, 2010

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 115026 (MO) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Kevin Wagner?

Kevin Wagner is registered in NPPES with the primary taxonomy of Physical Therapist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-04-29.