MR. JUSTIN ROMAN WAGNER (PT) – Specialist, NPI 1669451472

MR. JUSTIN ROMAN WAGNER (PT) is a healthcare provider. based in Cedar rapids, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 03670 (IA). The NPI Number for MR. JUSTIN ROMAN WAGNER (PT) is 1669451472

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. JUSTIN ROMAN WAGNER (PT)
NPI
1669451472
Phone
(319) 295-8899
Address
REC CENTER PHYSICAL THERAPY
Enumeration Date
10 January 2006
Last Update Date
2 October 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
5890731095
Group Practice PAC ID
0042262008
Professional Enrollment ID
I20050628000876
Address ID
IA524980505CE400XXMSXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

Provider Addresses for MR. JUSTIN ROMAN WAGNER (PT)

  • REC CENTER PHYSICAL THERAPY

    400 COLLINS RD NE 154-100

    CEDAR RAPIDS, IA 524980001

    Phone: (319) 295-8899

    Fax: (319) 295-8833

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050628000876IPhysical Therapist In Private PracticeIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes84876$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes55474$0
97140Therapy procedure using manual technique, each 15 minutes50056$0
97530Therapy procedure using functional activities37752$0
97162Evaluation for physical therapy, typically 30 minutes2826$0
View full utilization report →

Insurance plans in this area (ZIP 52498)

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Provider's Procedures

MR. JUSTIN ROMAN WAGNER (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIA97001Physical therapy evaluation2120

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: 0042262008View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
-IA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA

Reviews

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Frequently asked questions

Can I use this page to confirm MR. JUSTIN ROMAN WAGNER (PT)'s NPI?
Yes. MR. JUSTIN ROMAN WAGNER (PT) is listed with NPI 1669451472 in the public NPI dataset.
Is MR. JUSTIN ROMAN WAGNER (PT) still practicing?
MR. JUSTIN ROMAN WAGNER (PT) is currently listed as active in the public NPI registry.
What is MR. JUSTIN ROMAN WAGNER (PT)'s specialty?
The listing groups MR. JUSTIN ROMAN WAGNER (PT) with Other Service Providers. Clinical services aligned with this taxonomy classification.
What address line appears for MR. JUSTIN ROMAN WAGNER (PT)?
MR. JUSTIN ROMAN WAGNER (PT)'s geographic hint is Cedar Rapids, Iowa in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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