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

Daisy J Wagan, PT

Individual provider Physical Therapist · NPI 1942561543

Daisy J Wagan, PT is a Physical Therapist in Private Practice in Ballwin, Missouri. Qualified in 1983, 43 years ago. Practices with Empowerme Wellness Kansas City LLC, a 152-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
43
Licensed in
MO
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1840 Strawberry Ridge Dr
Ballwin, MO 63021-7773
Phone: (314) 583-7334
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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 RO756 (MO)

Record details

NPI number1942561543
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 31, 2012
Last updated in NPPESMay 31, 2012

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Empowerme Wellness Kansas City Llc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ballwin