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

Dr. Jesse Wagner, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1598415358

Dr. Jesse Wagner, MD is a Physical Medicine and Rehabilitation in Philadelphia, Pennsylvania. Graduated from Medical College of Georgia School of Medicine in 2022, 4 years ago. Works from 2 locations. Licensed in New Jersey and Pennsylvania.

Years since qualifying
4
Trained at
Medical College of Georgia School of Medicine
Licensed in
NJ, PA
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

833 Chestnut St Ste 1220
Philadelphia, PA 19107-4413
Phone: (800) 321-9999
Fax: (267) 479-1321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 999 Route 73 N Ste 401, Marlton, NJ 08053-1227 — (800) 321-9999

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence MD492598 (PA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 25MA12921300 (NJ)

Record details

NPI number1598415358
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2022
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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