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

Individual provider Physical Therapist · NPI 1104216555

Elizabeth Ann Wagner, DPT is a Physical Therapist in Lansing, Illinois. Practices as a sole proprietor. Licensed in Florida and Illinois.

Licensed in
FL, IL
In the registry since
2015
Specialties on file
2
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

16819 Torrence Ave
Lansing, IL 60438-6019
Phone: (708) 394-5215
Fax: (708) 474-3853
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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 070022160 (IL)
Physical Therapist Taxonomy 225100000X · Licence PT30032 (FL)

Record details

NPI number1104216555
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedJanuary 23, 2015
Last updated in NPPESApril 12, 2019

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