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

Individual provider Physical Therapist · NPI 1144663931

Gina M Wagner, DPT is a Physical Therapist in Private Practice in Saint Louis Park, Minnesota. Qualified in 2012, 14 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
14
Licensed in
MN, WI
In the registry since
2013
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

3800 Park Nicollet Blvd Rehabilitation Services
Saint Louis Park, MN 55416-2527
Phone: (952) 993-0973
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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 9586 (MN)
Physical Therapist Taxonomy 225100000X · Licence 11964-24 (WI)

Record details

NPI number1144663931
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 10, 2013
Last updated in NPPESAugust 1, 2014

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Saint Louis Park