MAKENZI WAGNER – Physical Therapist, NPI 1740807940

MAKENZI WAGNER is a healthcare provider. based in Moore, Oklahoma. specializing in Physical Therapist. They hold a License No. 5619 (OK). The NPI Number for MAKENZI WAGNER is 1740807940

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MAKENZI WAGNER
NPI
1740807940
Phone
Not provided
Address
1412 SW 23RD ST
Enumeration Date
3 July 2020
Last Update Date
8 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4054471991
Graduation Year
2019 (7 years ago)
PAC ID
0840613550
Group Practice PAC ID
1850286782
Professional Enrollment ID
I20200713003323

Contacts

Secure Messaging
Wagnerm16@georgefox.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

Provider Addresses for MAKENZI WAGNER

  • 1412 SW 23RD ST

    MOORE, OK 731707471

    Phone:

    Type: Mailing

  • 334 12TH AVE SE

    NORMAN, OK 730715070

    Phone: (405) 310-6590

    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

Source: CMS public data · Not endorsed by CMS ·

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)

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
97530Therapy procedure using functional activities23957$0
97140Therapy procedure using manual technique, each 15 minutes20855$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes18451$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes15844$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care3715$0
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Insurance plans in this area (ZIP 73170)

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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: 1850286782View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MAKENZI WAGNER in U.S. healthcare records?
The official identifier for MAKENZI WAGNER is NPI 1740807940.
Is there an active status for MAKENZI WAGNER?
For scheduling context, MAKENZI WAGNER is shown as active in the registry.
What area of care is associated with MAKENZI WAGNER?
MAKENZI WAGNER's record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MAKENZI WAGNER?
Travel planning: use Moore, Oklahoma as the reference point for MAKENZI WAGNER, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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