Individual provider · Type 1 NPI

Jack Wagner

Physical Therapist · Indianapolis, IN

NPI number 1962398131 Active

Practice location

8628 Purdue Rd
Indianapolis, IN 46268-1114

Call (317) 677-0660 Map

Fax (317) 667-0640

Mailing address

33900 Harper Ave Ste 104
Clinton Township, MI 48035-4258

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X05016107A (IN)

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…

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About NPI 1962398131

Jack Wagner's National Provider Identifier is 1962398131, issued on Jun 16, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 8, 2025.