RUTH SUNSHINE WAGNER (DPT) – Physical Therapist, NPI 1710022405

RUTH SUNSHINE WAGNER (DPT) is a healthcare provider. based in Sturbridge, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 17757 (MA). The NPI Number for RUTH SUNSHINE WAGNER (DPT) is 1710022405

Main info

Female
20 Years Of Experience
Name
RUTH SUNSHINE WAGNER (DPT)
NPI
1710022405
Phone
(508) 347-7550
Address
57 MAIN ST
Enumeration Date
20 February 2007
Last Update Date
20 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083477550
Graduation Year
2006 (20 years ago)
PAC ID
0840630935
Group Practice PAC ID
1850619420
Professional Enrollment ID
I20240507001462
Address ID
MA015661283ST57XXXSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for RUTH SUNSHINE WAGNER (DPT)

  • 57 MAIN ST

    STURBRIDGE, MA 015661283

    Phone: (508) 347-7550

    Fax: (508) 347-7559

    Type: Mailing

  • 281 LINCOLN ST

    MEDICAL STAFF SERVICES

    WORCESTER, MA 016052138

    Phone: (508) 334-8015

    Fax: (508) 334-5374

    Type: Mailing

  • 55 LAKE AVE N

    PHYSICAL THERAPY

    WORCESTER, MA 016550002

    Phone: (508) 334-8700

    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.

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: 2024-05-07

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
I20240507001462IPhysical Therapist In Private PracticeMATBD

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.

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

Insurance plans in this area (ZIP 01566)

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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: 1850619420View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

Can I use this page to confirm RUTH SUNSHINE WAGNER (DPT)'s NPI?
Yes. RUTH SUNSHINE WAGNER (DPT) is listed with NPI 1710022405 in the public NPI dataset.
Can I rely on RUTH SUNSHINE WAGNER (DPT) being an active provider?
As of the registry snapshot, RUTH SUNSHINE WAGNER (DPT) is marked active.
What taxonomy line describes RUTH SUNSHINE WAGNER (DPT)?
For research purposes, treat RUTH SUNSHINE WAGNER (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for RUTH SUNSHINE WAGNER (DPT)?
RUTH SUNSHINE WAGNER (DPT)'s geographic hint is Sturbridge, Massachusetts in our summary view.
Is the information about RUTH SUNSHINE WAGNER (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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