Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Judith Wagner

Individual provider Physical Therapist · NPI 1659458016

Judith Wagner is registered under Physical Therapist in Private Practice in Saint Clair Shores, Michigan. Qualified in 1983, 43 years ago. Practices with Leelanau Physical Therapy PC, a 16-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
43
Licensed in
MI
In the registry since
2006
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Practice location Address checks out

23161 Greater Mack Ave
Saint Clair Shores, MI 48080-1956 Not confirmed with CMS for 19 years — call before visiting
Phone: (586) 779-8892
Fax: (586) 779-2869
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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 5501002691 (MI)

Record details

NPI number1659458016
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 1, 2006
Last updated in NPPESJuly 8, 2007

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 Leelanau Physical Therapy Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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 526 a service is one billed item, such as a visit, a test or a procedure
Average patient age78

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 Leelanau Physical Therapy PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 16 clinicians in the practice; 12 are shown here.

Other providers in Saint Clair Shores