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

Kaelyn Wagner, DPT

Individual provider Physical Therapist · NPI 1265325849

Kaelyn Wagner, DPT is a Physical Therapist in Private Practice in Appleton, Wisconsin. Qualified in 2025, 1 year ago. Practices with Advanced Physical Therapy and Sports Medicine SC, a 61-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2025
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

W3124 Van Roy Rd
Appleton, WI 54915-3929
Phone: (920) 968-1010
Fax: (920) 968-1012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 225 W Kennedy Ave, Kimberly, WI 54136-2836 — (920) 991-2561

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 17294-24 (WI)

Record details

NPI number1265325849
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 2, 2025
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025
Mailing address2105 E Enterprise Ave Ste 113, Appleton, WI 54913-7862

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Advanced Physical Therapy And Sports Medicine Sc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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