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

Kristin Wagner, PT

Individual provider Physical Therapist · NPI 1265629307

Kristin Wagner, PT is a Physical Therapist in Private Practice in New Lenox, Illinois. Qualified in 1999, 27 years ago. Practices with Athletic and Therapeutic Institute of Bourbonnais, LLC, a 170-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
27
Licensed in
IL
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

806 Laraway Rd 808
New Lenox, IL 60451-2694
Phone: (815) 462-8416
Fax: (815) 462-8425
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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 070011465 (IL)

Record details

NPI number1265629307
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 3, 2007
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Athletic And Therapeutic Institute Of Bourbonnais, Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in New Lenox