ALYSON NICOLE WAGNER (PT, DPT, MS) – Physical Therapist, NPI 1346797396

Physical Therapist

ALYSON NICOLE WAGNER (PT, DPT, MS) is a healthcare provider. based in Villa park, Illinois. specializing in Physical Therapist. They hold the professional credentials PT, DPT, MS. They hold a License No. 070.022488 (IL). The NPI Number for ALYSON NICOLE WAGNER (PT, DPT, MS) is 1346797396

Main info

Female

10 Years Of Experience

Accepts Medicare Assignment

Name

ALYSON NICOLE WAGNER (PT, DPT, MS)

NPI

1346797396

Phone

(630) 620-4433

Address

830 S ADDISON AVE

Enumeration Date

7 September 2016

Last Update Date

17 November 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

63062044336277

Graduation Year

2016 (10 years ago)

PAC ID

1658648290

Group Practice PAC ID

7113963919

Professional Enrollment ID

I20170601002140

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience42

Completeness75

Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for ALYSON NICOLE WAGNER (PT, DPT, MS)

830 S ADDISON AVE
VILLA PARK, IL 601812877
Phone: (630) 620-4433
Type: Location
950 LEE ST
SUITE 210
DES PLAINES, IL 600166532
Phone:
Type: Mailing
1442 OLD SKOKIE RD
HIGHLAND PARK, IL 600353032
Phone: (877) 486-4140
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60181)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 7113963919View full group profile

Name	Specialty	State
MARYLU ANN OLSEN	Occupational Therapist In Private Practice	IL
DIANE FRITTS-RYAN (OTR/L)	-	IL
JOANNE MARIE PYGON	Physical Therapist In Private Practice	IL
ELIZABETH CHRISTIAN ROSALES (AUD, CCC-A)	Qualified Audiologist	IL
JOSEPHINE B. HIPOLITO	Physical Therapist In Private Practice	IL
JAMES GERARD ALVITI	-	IL
CELINE M ROSATI SKERTICH (MS, PT, PCS, C/NDT)	-	IL
SUE ANN KIM	Physical Therapist In Private Practice	IL
CYNTHIA ERDOS (AUD)	Qualified Audiologist	IL
LINDA A. MERRY	-	IL

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Frequently asked questions

What NPI should I save for ALYSON NICOLE WAGNER (PT, DPT, MS)?

Save NPI 1346797396 if you need a stable reference for ALYSON NICOLE WAGNER (PT, DPT, MS).

Is ALYSON NICOLE WAGNER (PT, DPT, MS)'s NPI currently valid?

The extract we use shows ALYSON NICOLE WAGNER (PT, DPT, MS) as active.

Does ALYSON NICOLE WAGNER (PT, DPT, MS) list a primary specialty?

If you are matching referrals, note Physical Therapist for ALYSON NICOLE WAGNER (PT, DPT, MS). Clinical services aligned with this taxonomy classification.

Does ALYSON NICOLE WAGNER (PT, DPT, MS) practice in Illinois?

You will see Villa Park, Illinois on file for ALYSON NICOLE WAGNER (PT, DPT, MS) alongside any extra practice locations.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.