MR. SCOTT WAGNER (PT) – Physical Therapist, NPI 1982648051
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN
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Provider Addresses for MR. SCOTT WAGNER (PT)
Dreamers Vault Games, 3015, Utah Avenue South, Aquila, Saint Louis Park, Hennepin County, Minnesota, 55426, United States
SUITE 200
SAINT LOUIS PARK, MN 554263671
Phone: (952) 933-1121
Fax: (952) 945-9635
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.
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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: 2007-02-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070226000509 | I | Physical Therapist In Private Practice | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 166 | 29 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 156 | 28 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 29 | 26 | $0 |
Insurance plans in this area (ZIP 55426)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | MN | |
| Clinical Psychologist | MN | |
| Family Practice | MN | |
| C H I R O P R A C T I C | MN | |
| - | MN | |
| Internal Medicine, General Surgery | MN | |
| Clinical Social Worker | MN | |
| Internal Medicine | MN | |
| Internal Medicine | MN | |
| Pain Management | MN |
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