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

Kevin Wagner, MSPT

Individual provider Physical Therapist · NPI 1306006978

Kevin Wagner, MSPT is a Physical Therapist in Private Practice in Los Angeles, California. Qualified in 2007, 19 years ago. Practices with Train Boston Physical Therapy Inc, a 7-clinician group. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2008

Practice location Address checks out

3283 Motor Ave
Los Angeles, CA 90034-3709
Phone: (310) 845-9690
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 33753 (CA)

Record details

NPI number1306006978
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedJune 16, 2008
Last updated in NPPESJune 23, 2008

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Train Boston Physical Therapy Inc — 7 clinicians
Accepts Medicare assignment Not indicated

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