Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaelyn Wagner, DPT

Individual provider Physical Therapist · NPI 1265325849

Kaelyn Wagner, DPT is a Physical Therapist in Private Practice in Appleton, Wisconsin. Qualified in 2025, 1 year ago. Practices with Advanced Physical Therapy and Sports Medicine SC, a 61-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

W3124 Van Roy Rd
Appleton, WI 54915-3929
Phone: (920) 968-1010
Fax: (920) 968-1012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 225 W Kennedy Ave, Kimberly, WI 54136-2836 — (920) 991-2561

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 17294-24 (WI)

Record details

NPI number1265325849
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 2, 2025
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Advanced Physical Therapy And Sports Medicine Sc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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