Individual provider · Type 1 NPI

Jacklyn Marie Wagner, PT, DPT, ATC

Physical Therapist · South Portland, ME

NPI number 1659745073 Active

Practice location

50 Foden Road, Suite C
South Portland, ME 04106

Call (207) 780-8860 Map

Mailing address

100 Gannett Dr Ste C
South Portland, ME 04106-5900

Other practice locations

  • 259 Main St, Yarmouth, ME 04096-4703 · (207) 780-8860

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XPT5423 (ME)

Physical Therapist: 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, r…

2 other providers at this address

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About NPI 1659745073

Jacklyn Marie Wagner, PT, DPT, ATC's National Provider Identifier is 1659745073, issued on Nov 23, 2015. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in South Portland, ME. The record was last updated on Jul 21, 2026.