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

Mr. Richard D Wagner Jr., PTCSCSVCS

Individual provider Physical Therapist · NPI 1225103476

Mr. Richard D Wagner Jr., PTCSCSVCS is registered under Physical Therapist in Private Practice in Grafton, Wisconsin. Qualified in 1997, 29 years ago. Practices with Body Renovation Physical Therapy SC, a 14-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
29
Licensed in
WI
In the registry since
2006
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Practice location Address checks out

2020 Cheyenne Ct
Grafton, WI 53024-0368 Not confirmed with CMS for 18 years — call before visiting
Phone: (262) 375-1075
Fax: (262) 375-4975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5865024 (WI)

Record details

NPI number1225103476
Entity typeIndividual (Type 1)
GenderMale
Credentials PTCSCSVCS
Sole proprietorNo
NPI enumeratedNovember 22, 2006
Last updated in NPPESJanuary 30, 2008

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Body Renovation Physical Therapy Sc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients25
Services billed 809 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Body Renovation Physical Therapy SC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 14 clinicians in the practice; 12 are shown here.

Other providers in Grafton