Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mrs. Jennifer Lee Wagoner, P.T.
Physical Therapist in Macomb, IL · enumerated 2011.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1861785206
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Registry record
Entity type Individual (Type 1)
Name Mrs. Jennifer Lee Wagoner
Credential P.T.
Sex Female
Practice address 505 E Grant St, Macomb, IL, 61455
Phone (309) 833-1733
Enumeration date May 18, 2011
Last updated in NPPES Feb 10, 2022
Taxonomy & licenses
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 070015942 (IL) Primary
PT · Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation.
About the PT credential
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.
Frequently asked questions
What specialty is Jennifer Wagoner?
Jennifer Wagoner 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.
Other providers at this practice address
Browse all → Mcdonough Eye Associates PC Ophthalmology Physician · Macomb, IL NPI 1144224924 Troy Eckman Obstetrics & Gynecology Physician · Macomb, IL NPI 1073518304 Sharie Harden Advanced Practice Midwife · Macomb, IL NPI 1104821446 Brenda Powell-Allen Women's Health Nurse Practitioner · Macomb, IL NPI 1538164447 David Miller Internal Medicine Physician · Macomb, IL NPI 1861497612 Mary Lockard Pediatrics Physician · Macomb, IL NPI 1679571152 Michael Waters Family Medicine Physician · Macomb, IL NPI 1477536993 Curtis Farr Family Medicine Physician · Macomb, IL NPI 1700861937
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-10.